Individual
DR. KARINA JANDZISZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6286
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20993
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051330S
—
OK
Enumeration date
08/19/2005
Last updated
09/30/2011
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