Individual
THOMAS G KOTOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19636 N 27TH AVE, #101, PHOENIX, AZ 85027
(623) 516-2639
(623) 580-0019
Mailing address
19636 N 27TH AVE, #101, PHOENIX, AZ 85027
(623) 516-2639
(623) 580-0019
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
3065
AZ
208200000X
Plastic Surgery Physician
Primary
3065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329145
—
AZ
Enumeration date
11/02/2006
Last updated
09/11/2025
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