Organization
JAROSLAW K PASZKOWIAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAROSLAW PASZKOWIAK MD (OWNER)
(580) 248-8000
Entity
Organization
Contact information
Practice address
4411 W GORE BLVD, STE B1, LAWTON, OK 73505-5977
(580) 248-8000
Mailing address
4411 W GORE BLVD, STE B1, LAWTON, OK 73505-5977
(580) 248-8000
(580) 248-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200082480B
—
OK
05
—
200095800A
—
OK
01
—
P00435232
MEDICARE RAILROAD
OK
Enumeration date
09/03/2006
Last updated
02/18/2014
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