Individual
MICHAEL JAWORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 SW 115TH ST, OKLAHOMA CITY, OK 73170-2630
(940) 867-4505
Mailing address
2700 SW 115TH ST, OKLAHOMA CITY, OK 73170-2630
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
303382
—
2471S1302X
Sonography Radiologic Technologist
Primary
79559
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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