Individual
JACOB JOHN KOCZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14256 N NORTHSIGHT BLVD STE 120, SCOTTSDALE, AZ 85260-3954
(623) 249-7589
Mailing address
14256 N NORTHSIGHT BLVD STE 120, SCOTTSDALE, AZ 85260-3954
(623) 249-7589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11014550A
IN
207W00000X
Ophthalmology Physician
11014550A
IN
207W00000X
Ophthalmology Physician
274908
NY
207W00000X
Ophthalmology Physician
Primary
66739
AZ
207W00000X
Ophthalmology Physician
DR.0056977
CO
Other
Enumeration date
07/02/2008
Last updated
05/03/2023
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