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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