Organization
PANEPINTO PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RORY PAUL PANEPINTO D.P.M. (OWNER)
(504) 264-3668
Entity
Organization
Contact information
Practice address
1801 CLEARVIEW PKWY, METAIRIE, LA 70001-2451
(504) 376-4664
(504) 210-8799
Mailing address
1801 CLEARVIEW PKWY, METAIRIE, LA 70001-8816
(504) 376-4664
(504) 210-8799
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD.299R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5DX19
GROUP PTAN
LA
Enumeration date
03/08/2012
Last updated
10/04/2012
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