Individual
DR. COLE JOSEPH PANUSHKA
Active
Individual
DR. COLE JOSEPH PANUSHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1825061205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10058
—
UT
05
—
120889600
—
WY
05
—
807112800
—
ID
05
—
931718
—
AZ
01
—
P00199626
RR MEDICARE
UT
01
—
P00651556
RR MEDICARE
UT
Enumeration date
11/08/2005
Last updated
02/19/2019
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