Dr Gary Patzkowsky, DO | |
401 S 3rd St, Enid, OK 73701-5737 | |
(580) 548-1112 | |
(580) 548-1538 |
Full Name | Dr Gary Patzkowsky |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 401 S 3rd St, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912990896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1761 (Oklahoma) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 1761 (Oklahoma) | Primary |
Entity Name | Integris Ambulatory Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Patzkowsky, DO 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (580) 234-1112 | Dr Gary Patzkowsky, DO 401 S 3rd St, Enid, OK 73701-5737 Ph: (580) 548-1112 |
Dr. John Emmet Miles, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 580-213-6763 | |
Dr. Nathen Holdman, MD, OTR, CSCS Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 228-376-0425 | |
Dr. David B Trant, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 527 Gott Rd, Enid, OK 73705 Phone: 281-428-1401 |