Individual
KOKI OZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STADIUM DRIVE, BOULDER, CO 80309-0001
(903) 245-9125
Mailing address
2150 STADIUM DRIVE, BOULDER, CO 80309-0001
(903) 245-9125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
06/27/2024
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