Individual
MR. CORY M KOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19350 E SILVER CREEK LN, QUEEN CREEK, AZ 85142-9064
(480) 718-5400
(877) 666-4624
Mailing address
729 S BURK ST, GILBERT, AZ 85296-2815
(480) 588-6213
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3363
AZ
363A00000X
Physician Assistant
Primary
3363
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023682
—
AZ
Enumeration date
06/03/2006
Last updated
02/02/2015
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