Provider Demographics
NPI:1174966048
Name:POJEZNY, ASHLEY WESSLER (DO)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:WESSLER
Last Name:POJEZNY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2050 W KENOSHA ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-8946
Mailing Address - Country:US
Mailing Address - Phone:918-882-0440
Mailing Address - Fax:918-882-0441
Practice Address - Street 1:2050 W KENOSHA ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-8946
Practice Address - Country:US
Practice Address - Phone:918-882-0440
Practice Address - Fax:918-882-0441
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5613207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine