Individual
DEANNA KOTZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 912-4972
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7722
(410) 543-7725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05987
MD
363L00000X
Nurse Practitioner
C05987
MD
Other
Enumeration date
11/23/2015
Last updated
12/27/2020
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