| Doctor Name: | ANTHONY QUIN PANNELL |
| NPI Number: | 1053413039 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 221 W Franklin Ave Apt 4 Weatherford, OK - 730964849 |
| Business Phone Number: | 5806509448 |
| Business Fax Number: | |
| Mailing Address: | 221 W Franklin Ave Apt 4, WEATHERFORD |
| State: | OK |
| Postal Code: | 730964849 |
| Phone Number: | 5806509448 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |