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Organization
PAM PHYSICIAN ENTERPRISE
Active
Organization
PAM PHYSICIAN ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
12911 W 40TH AVE, GOLDEN, CO 80401-2696
(303) 425-4500
Mailing address
PO BOX 206478, DALLAS, TX 75320-6478
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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