Individual
MS. DEBORAH A KOSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3205 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5147
(719) 776-3216
(719) 776-3220
Mailing address
3205 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5147
(719) 776-3216
(719) 776-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001709
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74278851
—
CO
Enumeration date
12/29/2005
Last updated
07/19/2016
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