Dr. Nicholas Gregory Iwasko, M.D.
Radiology, Diagnostic Radiology in Dallas, TX. Individual provider (NPI-1).
NPI number1285649863
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1285649863
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Gregory Iwasko
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2006
- Certification date
- Oct 25, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | L3347 | TX | Yes |
Practice location
4420 Cedarbrush DrDallas, TX 75229-2901
Phone 352-222-7431 · Fax 972-542-6915
Mailing address
4420 Cedarbrush DrDallas, TX 75229-2901
Phone 352-222-7431 · Fax 972-542-6915
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