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Individual

DR. ALBERT J KOZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
VCOM SPORTS & OSTEOPATHIC MEDICINE, 1691 INNOVATION DR,, SUITE 2100, BLACKSBURG, VA 24060
(540) 232-8405
(833) 464-3281
Mailing address
1691 INNOVATION DR STE 2100, BLACKSBURG, VA 24060-6618
(540) 232-8405
(833) 464-3281

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
0102204269
VA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
040264
CT
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
0102204269
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
040264
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102204269
VIRGINIA
VA
01
040264
STATE CT LICENSE
01
1871799635
GROUP NPI
CT
01
34007170K
STATE OH LICENSE
OH
Enumeration date
08/25/2005
Last updated
04/16/2026
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