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Individual

DR. ANASTASIOS GEORGE PANTELIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2590
(304) 422-3924
Mailing address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
(304) 588-8683
(304) 422-3924

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19249
WV
207L00000X
Anesthesiology Physician
Primary
35074277
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2125177
OH
05
5700136000
WV
Enumeration date
09/30/2005
Last updated
05/01/2023
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