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Individual

DR. PAUL A PRYATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
448 LYNDEN DR, HIGHLAND HTS, OH 44143-1565
(440) 516-3776
(440) 516-3783
Mailing address
448 LYNDEN DR, HIGHLAND HTS, OH 44143-1565
(440) 684-9840
(440) 684-9840

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
OH 36-00-2370-P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000216707
ANTHEM BLUE SHIELD
OH
05
0632775
OH
Enumeration date
05/06/2006
Last updated
09/28/2010
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