Individual
RICHARD A KOZAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
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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