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Individual
DR. JEFFREY ROBERT PENTEK
Active
Individual
DR. JEFFREY ROBERT PENTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
PO60560146
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002464
MI
Other
Enumeration date
07/11/2012
Last updated
06/18/2018
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