Organization
OWASSO FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PISARIK M.D. (OWNER)
(918) 212-6332
Entity
Organization
Contact information
Practice address
13720 E 86TH ST N STE 100, OWASSO, OK 74055-8704
(918) 212-6332
Mailing address
7011 GREENBRIER DR, OWASSO, OK 74055-5992
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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