Individual
DR. BRENDAN KOISTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(480) 420-0749
Mailing address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
010336
AZ
Other
Enumeration date
03/30/2019
Last updated
09/22/2023
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