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MARIOS PETROUS PANAYIDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 WARDER ST, SUITE 220, SPRINGFIELD, OH 45504-2500
(937) 399-7021
(937) 399-0697
Mailing address
2275 SWALLOW HILL RD SUITE 2400, THE SKIN CENTER, PITTSBURGH, PA 15220-1676
(412) 429-1151
(412) 429-0211

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-03-3769-P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02566986
OH
Enumeration date
05/25/2006
Last updated
07/28/2015
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