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

Paul M Petelin Sr., MD

Individual provider Procedural Dermatology Physician · NPI 1124201819

Paul M Petelin Sr., MD is a Procedural Dermatology Physician in Scottsdale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5845 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 5845 (AZ)

Record details

NPI number1124201819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 17, 2007
Last updated in NPPESNovember 7, 2019

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