Individual
EDWARD KOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, WP1140, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4859
OK
207L00000X
Anesthesiology Physician
58001158
OH
207L00000X
Anesthesiology Physician
M9428
TX
Other
Enumeration date
06/05/2007
Last updated
06/29/2020
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