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Organization
AKOS DPC, LLC
Active
Organization
AKOS DPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY COZATT (PROJECT/RELATIONS OFFICER)
(602) 899-4404
Entity
Organization
Contact information
Practice address
20565 N 19TH AVE, PHOENIX, AZ 85027-3563
(602) 899-4404
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(602) 899-4404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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