Individual
STEPHEN JASKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3528
(918) 744-3529
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2024045789
MO
207P00000X
Emergency Medicine Physician
Primary
2436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013050A
—
OK
Enumeration date
07/03/2006
Last updated
02/25/2025
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