Individual
JAIME LYNN KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7054 E COCHISE RD STE B230, SCOTTSDALE, AZ 85253-4550
(602) 900-9404
(602) 903-6587
Mailing address
6051 E CORTEZ DR, SCOTTSDALE, AZ 85254-4948
(602) 900-9404
(602) 903-6587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3257
AZ
363A00000X
Physician Assistant
Primary
AZ3257
AZ
Other
Enumeration date
11/24/2006
Last updated
06/10/2019
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