Individual
DOMINIK GRZEGORZ SOKALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 POPLAR DR, MEDFORD, OR 97504-5207
(541) 773-2233
(541) 773-7089
Mailing address
1365 POPLAR DR, MEDFORD, OR 97504-5207
(541) 773-4291
(541) 773-4291
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
56254
CO
207RR0500X
Rheumatology Physician
Primary
MD153128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478052ZL1P
MEDICARE CO
CO
05
—
500722930
—
OR
01
—
DR.0056254
STATE LICENSE
CO
01
—
MD153128
STATE LICENSE
OR
01
—
R194430
MEDICARE OR
OR
Enumeration date
07/25/2007
Last updated
02/11/2019
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