# JAROSLAW K PASZKOWIAK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790887263
- **Authorized official:** JAROSLAW PASZKOWIAK MD (OWNER)
- **Authorized official phone:** (580) 248-8000

## Contact information

- **Practice address:** 4411 W GORE BLVD, STE B1, LAWTON, OK 73505-5977
- **Practice address phone:** (580) 248-8000
- **Mailing address:** 4411 W GORE BLVD, STE B1, LAWTON, OK 73505-5977
- **Mailing address phone:** (580) 248-8000
- **Mailing address fax:** (580) 248-8001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2006
- **Last updated:** 02/18/2014