# PHELAN GILES PIEHOTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548534381
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 83038 | SC | Yes |
| 207W00000X | Ophthalmology Physician | OS017900 | PA | — |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 08/15/2023