Individual
ANASTASIA KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6474 CENTERVILLE BUSINESS PKWY, DAYTON, OH 45459-2633
(937) 435-7477
(937) 435-6644
Mailing address
6474 CENTERVILLE BUSINESS PKWY, DAYTON, OH 45459-2633
(937) 435-7477
(937) 435-6644
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223320
—
OH
Enumeration date
05/06/2014
Last updated
07/21/2022
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