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Organization
CHRISTOPHER A PANEK DPM PC
Active
Organization
CHRISTOPHER A PANEK DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER A PANEK DPM PC (PHYSICIAN OWNER)
(724) 758-4900
Entity
Organization
Contact information
Practice address
601 CRESCENT AVE, ELLWOOD CITY, PA 16117
(724) 758-4900
(724) 758-8190
Mailing address
601 CRESCENT AVE, ELLWOOD CITY, PA 16117
(724) 758-4900
(724) 758-8190
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004669R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434455
BLUE SHIELD
PA
01
—
DP6029
MEDICARE RAILROAD
PA
Enumeration date
10/25/2006
Last updated
02/26/2010
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