Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anthony John Petelin, MD

Individual provider Dermatology Physician · NPI 1063668531

Dr. Anthony John Petelin, MD is a Dermatology in Scottsdale, Arizona. Graduated from University of Arizona College of Medicine in 2006, 20 years ago. Practices with Center for Dermatology PLLC, a 69-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
20
Trained at
University of Arizona College of Medicine
Licensed in
AZ, CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14275 N 87th St Ste #110
Scottsdale, AZ 85260-3696
Phone: (480) 905-8485
Fax: (480) 905-7274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 45164 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence A103734 (CA)

Record details

NPI number1063668531
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2008
Last updated in NPPESNovember 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Center For Dermatology Pllc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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