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Individual

DR. PAUL PISARIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3138 S GARNETT RD, TULSA, OK 74146-1933
(918) 203-7005
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-8069

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24771
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200074690B
OK
Enumeration date
07/07/2005
Last updated
01/19/2023
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