Individual
PAWEL R FLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 231-7000
Mailing address
PO BOX 1230, STATE COLLEGE, PA 16804-1230
(814) 235-3898
(814) 235-3899
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD421968
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019672370002
—
PA
01
—
1505399
HIGHMARK BLUE SHIELD
PA
01
—
50041425
KEYSTONE HEALTH PLAN CENT
PA
01
—
80917
GEISINGER HEALTH PLAN
PA
Enumeration date
07/07/2006
Last updated
07/08/2007
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