Individual
ELIZABETH PANKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 436-4820
Mailing address
90 SAINT MARKS PL APT 4C, STATEN ISLAND, NY 10301-1662
(503) 936-1988
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
007419
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6104
CA
Other
Enumeration date
04/02/2021
Last updated
03/03/2025
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