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Individual

NICK HOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19829 N 27TH AVENUE, PHOENIX, AZ 85027
(623) 931-1225
(623) 931-0088
Mailing address
PO BOX 81349, PHOENIX, AZ 85069-1349
(623) 931-1225
(623) 931-0088

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26976
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
439605
AHCCCS
AZ
01
AZ0743300
BCBS
AZ
Enumeration date
10/24/2005
Last updated
05/04/2015
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