Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anthony Michael David Paolucci, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902646300

Dr. Anthony Michael David Paolucci, MD is a Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
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

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone: (928) 522-9874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R81297 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902646300
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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