Individual
DR. NIKOLAS MATHEW KOZUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375
(623) 524-4000
Mailing address
10530 MIMOSA LN, SAINT LOUIS, MO 63126-3523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN213299
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
118524
AZ
Other
Enumeration date
05/16/2018
Last updated
07/06/2018
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