Angelo A Petropolis Md Pllc

LBN: Angelo A Petropolis Md Pllc
Angelo A Petropolis Md Pllc is an health care organization with primary practice located at 1916 Paseo San Luis , Sierra Vista AZ 85635-4614. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Angelo A Petropolis Md Pllc can be contacted via phone (520) 458-1505, or through Kaplan, Sandy via phone (520) 458-6331.

Contact Information

Primary practice address
1916 Paseo San Luis Sierra Vista AZ 85635-4614
Phone: (520) 458-1505
Fax: (520) 458-6949
Website:
Map and Directions
Authorized official contact:
Name: Kaplan, Sandy
Phone: (520) 458-6331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22192 Arizona

Profile Details

NPI number 1356362396
LBN Legal business name Angelo A Petropolis Md Pllc
DBA Doing business as
Authorized official Kaplan, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356362396 NPPES
Arizona MEDICAID 325242
Arizona Other AZ0776240

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