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1083698153
SERGEI G SHATILLO
SCOTTSDALE, AZ
NPI
1083698153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 3044)
Enumeration Date
2005-12-02
Last Update Date
2020-10-09
Business Address
SERGEI G SHATILLO P.A.-C.
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5404
Phone number: 480-301-8000
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Mailing Address
SERGEI G SHATILLO P.A.-C.
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5404
Phone number: 480-301-8000
Copy
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