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Individual

PETER S KOSEK

Active
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Individual

PETER S KOSEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
MD18619
OR
208VP0014X
Interventional Pain Medicine Physician
18619
OR
208VP0014X
Interventional Pain Medicine Physician
Primary
MD18619
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006439001
REGENCE BCBSO
OR
05
062781
OR
Enumeration date
05/13/2006
Last updated
06/29/2021
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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