Individual
CASSANDRA KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5303
(520) 381-6648
(520) 381-6068
Mailing address
1800 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5303
(520) 381-6648
(520) 381-6068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8492
AZ
Other
Enumeration date
05/06/2016
Last updated
04/11/2017
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