Doctor Name: | DR. JAMES ELIAS XANTHOPOULOS |
NPI Number: | 1306096227 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS000763L |
Business Practice Address: | 163 Summit Dr Lewistown, PA - 170441245 |
Business Phone Number: | 7172483941 |
Business Fax Number: | |
Mailing Address: | 1641 Middle Rd, LEWISTOWN |
State: | PA |
Postal Code: | 170449360 |
Phone Number: | 7173484592 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2008 |
NPI Last Update Date: | 09/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS000763L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |