Individual
DR. NICHOLAS ANDREW KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E. SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01068913A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
71207
AZ
208D00000X
General Practice Physician
01068913A
IN
Other
Enumeration date
06/25/2008
Last updated
02/02/2024
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