Individual
COLE SIMON KOZLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15585 NE 24TH ST, BELLEVUE, WA 98007-3836
(888) 227-3312
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60503487
WA
Other
Enumeration date
09/22/2014
Last updated
10/07/2020
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