Provider Demographics
NPI:1164731097
Name:VOUTSINAS, PANAYIOTA (DO)
Entity Type:Individual
Prefix:
First Name:PANAYIOTA
Middle Name:
Last Name:VOUTSINAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 MAYFIELD RD
Mailing Address - Street 2:APT. E
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-4064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24 DOCTORS LN
Practice Address - Street 2:SUITE 202
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-8568
Practice Address - Country:US
Practice Address - Phone:814-226-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT011407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine