Individual
DR. KAREN LOUISE PANTAZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
817 COURT ST, SUITE 14, JACKSON, CA 95642-2156
(209) 357-0503
(209) 257-1392
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C42898
CA
208VP0000X
Pain Medicine Physician
Primary
C42898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C428980
—
CA
Enumeration date
11/01/2006
Last updated
01/15/2013
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