Stefan Rozycki, MD | |
200 Mercy Circle, Camp Pendleton, CA 92055 | |
(760) 719-3385 | |
Not Available |
Full Name | Stefan Rozycki |
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Gender | Male |
Speciality | Otolaryngology |
Location | 200 Mercy Circle, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538401146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036164948 (Illinois) | Secondary |
207Y00000X | Otolaryngology | 28023 (Nebraska) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
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Stefan Rozycki, MD Po Box 555191, Camp Pendleton, CA 92055-5191 Ph: (919) 949-7502 | Stefan Rozycki, MD 200 Mercy Circle, Camp Pendleton, CA 92055 Ph: (760) 719-3385 |
Dr. Michael Jack Coulter, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-6646 | |
Dr. Daniel J Zinder, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: I Mef Hsse, Attn Mssp Bldg 210721 C St, Camp Pendleton, CA 92055 Phone: 760-725-9158 | |
Dr. Gretchen Collins Taylor, M. D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: Psc 477 Box 555191, Us Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1480 |