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Organization
AHWATUKEE SPORTS AND SPINE PLC
Active
Organization
AHWATUKEE SPORTS AND SPINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M KOZAK MD (PRESIDENT)
(480) 763-5808
Entity
Organization
Contact information
Practice address
4530 EAST MUIRWOOD DRIVE, STE 110, PHOENIX, AZ 85048
(480) 763-5808
(480) 759-0647
Mailing address
PO BOX 52817, PHOENIX, AZ 85072-2817
(480) 763-5808
(480) 759-0647
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/21/2006
Last updated
10/26/2010
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