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Organization
JOHN P DZIK DO PA
Active
Organization
JOHN P DZIK DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P DZIK DO (PRESIDENT)
(806) 622-2725
Entity
Organization
Contact information
Practice address
8745 PLANTATION DR, CANYON, TX 79015-6042
(806) 622-2725
(806) 352-4887
Mailing address
PO BOX 7391, AMARILLO, TX 79114-7391
(806) 622-2725
(806) 352-4887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181168901
—
TX
Enumeration date
06/21/2006
Last updated
11/27/2011
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