Individual
DIMAS KOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2631
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2631
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
61014
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2017
Last updated
08/29/2022
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