Individual
PAUL ANTHONY KOSCUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
6795 E CALLE LA PAZ UNIT 13208, TUCSON, AZ 85715-9048
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
62786
AZ
207P00000X
Emergency Medicine Physician
Primary
T5953
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
03/11/2026
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