Organization
AKOS LIVE, LLC
Active
Organization
AKOS LIVE, LLC
Active
Other names
Akos Med Clinic, Akos MD
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY COZATT (COO)
(844) 900-2567
Entity
Organization
Contact information
Practice address
3499 E FAIRVIEW AVE, MERIDIAN, ID 83642-5848
(602) 899-4404
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(844) 900-2567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/05/2019
Last updated
06/25/2020
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