Organization
ANGELA KO, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KOZIOL (CREDENTIALING SPECIALIST)
(480) 376-6456
Entity
Organization
Contact information
Practice address
7600 N 15TH ST STE 290, PHOENIX, AZ 85020-4336
(734) 945-5322
(602) 277-8146
Mailing address
8989 N GAINEY CENTER DR UNIT 145, SCOTTSDALE, AZ 85258-2114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
07/07/2021
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