Organization
IRINEO P PANTANGCO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINEO PANTANGCO MD (PRESIDENT)
(614) 235-2326
Entity
Organization
Contact information
Practice address
6415 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3563
(614) 864-8005
(614) 235-5194
Mailing address
PO BOX 13149, COLUMBUS, OH 43213-0149
(614) 235-2326
(614) 235-5194
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468020
—
OH
Enumeration date
12/28/2006
Last updated
08/22/2020
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