Individual
JOHN M KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4530 EAST MUIRWOOD DRIVE, STE 110, PHOENIX, AZ 85048
(480) 763-5808
(480) 759-0647
Mailing address
PO BOX 52817, PHOENIX, AZ 85072-2817
(480) 763-5808
(480) 759-0647
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
23442
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319279
—
AZ
Enumeration date
04/27/2006
Last updated
01/11/2010
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