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Individual
PHELAN GILES PIEHOTA
Active
Individual
PHELAN GILES PIEHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
83038
SC
207W00000X
Ophthalmology Physician
OS017900
PA
Other
Enumeration date
02/24/2012
Last updated
08/15/2023
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