Individual
ALEX KOSLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3419
(573) 629-3416
Mailing address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3419
(573) 629-3416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-4604
AR
207R00000X
Internal Medicine Physician
Primary
MD60331130
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598722597
—
MO
Enumeration date
04/26/2006
Last updated
08/13/2021
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