Organization
PAM PHYSICIAN ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
600 GOLDEN RIDGE RD, GOLDEN, CO 80401-8916
(717) 317-9303
(717) 731-9665
Mailing address
PO BOX 206478, DALLAS, TX 75320-6478
(717) 317-9303
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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