Individual
JASON JAMES KOCZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10484 W THUNDERBIRD BLVD STE 100, SUN CITY, AZ 85351-6019
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7302
AZ
363AS0400X
Surgical Physician Assistant
Primary
7302
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497276
—
AZ
Enumeration date
09/13/2006
Last updated
08/13/2025
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