Individual
DR. PAUL ANTSELIOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 E VIRGINIA AVE STE 119, PHOENIX, AZ 85004-1207
(602) 277-5731
(602) 277-5107
Mailing address
333 E VIRGINIA AVE STE 119, PHOENIX, AZ 85004-1207
(602) 277-5731
(602) 277-5107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34422
AZ
Other
Enumeration date
04/11/2006
Last updated
07/01/2013
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