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Individual

EDWARD J ARTNAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 481-2274
(325) 481-2330
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G6896
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132376803
TX
01
89X530
BCBS
TX
Enumeration date
11/09/2005
Last updated
09/13/2010
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