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Individual

GREGORY S MARKANTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3863 ROUTE 30, LATROBE, PA 15650-5256
(724) 539-7050
(724) 539-7053
Mailing address
3863 ROUTE 30, LATROBE, PA 15650-5256
(724) 539-7050
(724) 539-7053

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003702R
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC003702R
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003702R
PA
213ES0131X
Foot Surgery Podiatrist
SC003702R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001510410
PA
Enumeration date
05/30/2006
Last updated
10/08/2020
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