Individual
MR. JUSTIN F KOKOSKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 NATIONAL CHAMPIONSHIP DRIVE, N108, THE UNIVERSITY OF ARIZONA, TUCSON, AZ 85721-0096
(520) 621-4568
(520) 621-8771
Mailing address
9241 E DESERT COVE CIR, TUCSON, AZ 85730-1359
(520) 519-6944
(520) 621-8771
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
0245
AZ
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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