Petelin, Anthony John

Petelin, Anthony John is an individual health care provider with primary practice located at 14275 N 87Th St Suite #110, Scottsdale AZ 85260-3696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Petelin, Anthony John can be contacted via phone (480) 905-8485.

Contact Information

Primary practice address
14275 N 87Th St Suite #110 Scottsdale AZ 85260-3696
Phone: (480) 905-8485
Fax: (480) 905-7274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A103734 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 45164 Arizona

Profile Details

NPI number 1063668531
LBN Legal business name Petelin, Anthony John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Nov 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063668531 NPPES
Arizona Other 9778761 AETNA

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