Individual
RICHARD A KOZAREK
Active
Individual
RICHARD A KOZAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00020993
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR & INDUSTRY
WA
01
—
100011556
RAILROAD MEDICARE
—
01
—
1124042379
MONTANA DSHS
WA
01
—
806301600
IDAHO MEDICAID
WA
05
—
8558306
—
WA
01
—
K735
BLUE SHIELD
WA
01
—
MD299WA
ALASKA MEDICAID
WA
01
—
US0861591
AETNA/USHC SPECIALIST
WA
Enumeration date
07/27/2006
Last updated
03/11/2015
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