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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356362396 | NPPES |
| Arizona | MEDICAID | 325242 | |
| Arizona | Other | AZ0776240 |
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