Individual
ROBERT J KOSIOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 E BASELINE RD, STE 200, GILBERT, AZ 85234-2471
(480) 507-2199
(480) 507-0677
Mailing address
2451 E BASELINE RD, STE 200, GILBERT, AZ 85234-2471
(480) 507-2199
(480) 507-0677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20136
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053504
—
AZ
01
—
1Z5874
HEALTHNET
AZ
01
—
2048349
AETNA US HEALTHCARE
AZ
01
—
AZ0889880
BLUE CROSS BLUE SHEILD
AZ
Enumeration date
01/04/2007
Last updated
07/09/2015
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