Individual
JENNIFER KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8752 E SHEA BLVD, SCOTTSDALE, AZ 85260-6640
(480) 991-6432
(480) 991-2143
Mailing address
4902 E KIRKLAND RD, PHOENIX, AZ 85054-6183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1477
AZ
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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