NPI 1063668531

Anthony John Petelin, MD

Practitioner MOHS-Micrographic Surgery Physician Scottsdale, AZ

Practice location

Address: 14275 N 87th St Suite #110, Scottsdale, AZ 85260-3696
Phone: (480) 905-8485
Fax: (480) 905-7274

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 45164 (AZ)

Other Dermatology providers in Arizona →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A103734 (CA)

Registry record

NPI: 1063668531
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2008
Record last updated: 7 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.