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Individual

PETER GEORGE PANTELIDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
799 FARSON ST STE 210, BELPRE, OH 45714-1044
(740) 423-3082
(740) 423-3083
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD425120
PA
208VP0014X
Interventional Pain Medicine Physician
21925
WV
208VP0014X
Interventional Pain Medicine Physician
Primary
35086212
OH

Other

Enumeration date
09/30/2005
Last updated
08/13/2024
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