Individual
ANTHONY QUIN PANNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 W FRANKLIN AVE APT 4, WEATHERFORD, OK 73096-4849
(580) 650-9448
Mailing address
221 W FRANKLIN AVE APT 4, WEATHERFORD, OK 73096-4849
(580) 650-9448
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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