Individual
MR. THOMAS CLINTON PFENNIGWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3742 STATE ROUTE 257, SENECA, PA 16346-3318
(814) 677-0041
(814) 676-6196
Mailing address
3742 STATE ROUTE 257, SENECA, PA 16346-3318
(814) 677-0041
(814) 676-6196
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC005515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1394014
HIGHMARK BC/BS
PA
Enumeration date
08/02/2005
Last updated
10/15/2007
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