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Individual

DOUGLAS LLOYD KOZLOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CORNER OF VETERAN'S WAY AND LAMONT, J H QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
1009 KING RICHARD BLVD, JOHNSON CITY, TN 37604
(434) 799-8024

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101041114
VA

Other

Enumeration date
02/07/2007
Last updated
08/18/2008
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