Search › Arizona › 246ZE0600X
Shay Petillo
NPI 1891227021 · on the registry since 2017
Practice
- Address
- 2301 West Sanoque Court
Gilbert, AZ 85298 - Phone
- (720) 503-5711
- Organisation at this address
- Arizona Iom Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 246ZE0600X
246ZE0600X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona