Individual
SAMUEL JOHN KOZLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(775) 204-1400
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11942247-1205
UT
208M00000X
Hospitalist Physician
Primary
11942247-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/11/2017
Last updated
12/20/2021
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