MEDICARE: RICHARD M PETRONELLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	20559	AZ

General Provider Information

NPI Number	:	1255327532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD M PETRONELLA MD

Provider Business Mailing Address
First Line	:	6246 E PIMA ST
Second Line	:	#14
City	:	TUCSON
State	:	AZ
Zip	:	85712-3156
Country	:	US
Telephone Number	:	520-296-1719
Fax Number	:	520-296-3889

Provider Business Practice Location Address
First Line	:	6246 E PIMA ST
Second Line	:	#14
City	:	TUCSON
State	:	AZ
Zip	:	85712-3156
Country	:	US
Telephone Number	:	520-296-1719
Fax Number	:	520-296-3889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1699779223 — VIBRANTCARE OUTPATIENT REHABILITATION WEST INC
Practice Location Address:

6246 E PIMA ST , SUITE 160
TUCSON, AZ
85712-3156

Practice Phone: 520-721-0319
Practice Fax: 520-733-5810

1407893233 — KEN LAMM PHYSICAL THERAPY
Practice Location Address:

6246 E PIMA ST , SUITE 180
TUCSON, AZ
85712-3156

Practice Phone: 520-318-1996
Practice Fax:

1568651792 — DR. JEFFREY H DUBOIS DDS
Practice Location Address:

6246 E PIMA ST , SUITE 140
TUCSON, AZ
85712-3156

Practice Phone: 520-745-8424
Practice Fax: 520-298-0760

1093076333 — KATHLEEN A MCLOUGHLIN PT
Practice Location Address:

6246 E PIMA ST , SUITE 180
TUCSON, AZ
85712-3156

Practice Phone: 520-318-1996
Practice Fax: 529-320-1175

1427598879 — KAITLIN NICOLE WATCHEY DPT
Practice Location Address:

6246 E PIMA ST
TUCSON, AZ
85712-3156

Practice Phone: 520-712-5088
Practice Fax: 916-773-0586

1699825885 — DR. SOOFIA RUBBANI MD
Practice Location Address:

1230 W INA RD
TUCSON, AZ
85704-3156

Practice Phone: 520-389-8080
Practice Fax: 520-639-6531

Directions to “ RICHARD M PETRONELLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.