Individual
DR. KOSTAS JOHN ECONOMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 300, PHOENIX, AZ 85016-4879
(602) 277-6211
(866) 242-5309
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43879
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43879
LICENSE #
AZ
Enumeration date
05/17/2007
Last updated
10/20/2020
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