Organization
ARIZONA INSTITUTE OF GERIATRIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA B KOSS MD (OWNER/PHYSICIAN)
(602) 815-8887
Entity
Organization
Contact information
Practice address
10503 W THUNDERBIRD BLVD, #366, SUN CITY, AZ 85351-3022
(623) 815-8887
(623) 815-5374
Mailing address
PO BOX 26048, SCOTTSDALE, AZ 85255-0117
(623) 815-8887
(623) 815-5374
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
29375
AZ
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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