Individual
DR. NICHOLAS SPERO KOUCHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8144 E LAUREL ST, MESA, AZ 85207-9204
(630) 244-7656
Mailing address
8144 E LAUREL ST, MESA, AZ 85207-9204
(630) 244-7656
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
036089784
IL
207Q00000X
Family Medicine Physician
Primary
63760
AZ
Other
Enumeration date
09/14/2006
Last updated
09/17/2024
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