Individual
DANIEL J SKARZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8111
Mailing address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 261-5700
(601) 261-5777
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25209
MS
207RC0000X
Cardiovascular Disease Physician
Primary
CP200550
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09279502
—
MS
05
—
3379860
—
TN
05
—
3876877
—
TN
01
—
4042635
BCBS TN
TN
Enumeration date
12/14/2006
Last updated
10/09/2020
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