Gary Pesicka MD

NPI 1033225586 - Ophthalmology - 207W00000X

NPI Details
NPI 1033225586
Gender Male
Enumeration Date 08/21/2006
Last Updated 11/07/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
5323 HARRY HINES BLVD
DALLAS TX, 75390-7208, US
Phone (214) 645-2020
Fax
Business Location
PO BOX 845347
DALLAS TX, 75284-5347, US
Phone
Fax
Toxanomy
Taxonomy Code 207W00000X
License State Wisconsin
License Number 28979
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According to our database, Gary Pesicka MD NPI is 1033225586, taxonomy code is 207W00000X and license number is 28979, license state is located at Wisconsin. Gary Pesicka MD physically located at 5323 Harry Hines Blvd, Dallas TX, 75390-7208. NPI Number Gary Pesicka MD has the Individual type.

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1033225586 NPI number is provided on an as is basis without warranty of any kind. 1033225586 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Pesicka MD are for informational purposes only.