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Dr. Jack Oscar Piasecki, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tustin, California
NPI 1659416741

Jack Oscar Piasecki is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Tustin, CA. Jack Oscar Piasecki practices in Tustin, CA and has the professional credentials of MD. The NPI Number for Jack Oscar Piasecki is 1659416741 and holds a License No. G53516 (California).

The current practice location address for Jack Oscar Piasecki is 17400 Irvine Blvd, Tustin, CA and can be reached out via phone at 714-508-1112 and via fax at 714-508-3653.

Location: 17400 Irvine Blvd, Tustin, CA, 92780-3030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659416741
Provider Name
Jack Oscar Piasecki
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17400 Irvine Blvd, Tustin, CA, 92780-3030
Phone Number
714-508-1112
Fax Number
714-508-3653
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17400 Irvine Blvd
City
Tustin
State
California
Zip
92780-3030
Phone Number
714-508-1112
Fax Number
714-508-3653
person
Provider Business Mailing Address Details
Address
17400 Irvine Blvd
City
Tustin
State
California
Zip
92780-3030
Phone Number
714-508-1112
Fax Number
714-508-3653
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
G53516 (California)
Definition
Definition to come.
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