# KAREN PANTAZIS MD

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

## Provider details

- **NPI number:** 1992094874
- **Authorized official:** KAREN LOUISE PANTAZIS MD (OWNER)
- **Authorized official phone:** (916) 354-1343

## Contact information

- **Practice address:** 817 COURT ST, SUITE 14, JACKSON, CA 95642-2156
- **Practice address phone:** (916) 354-1343
- **Practice address fax:** (916) 354-1299
- **Mailing address:** PO BOX 7096, STOCKTON, CA 95267-0096
- **Mailing address phone:** (209) 956-7725
- **Mailing address fax:** (209) 956-7733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | C42898 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2011
- **Last updated:** 03/31/2011