Individual
URSZULA H KOTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, AMBULATORY BUILDING, PHOENIX, AZ 85016-7710
(602) 546-0990
(602) 546-0401
Mailing address
1919 E THOMAS RD, BUILDING 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8029
(602) 926-8310
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
33139
AZ
2084P0800X
Psychiatry Physician
DR.0058828
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
33139
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
DR.0058828
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881608
—
AZ
Enumeration date
09/22/2006
Last updated
11/28/2022
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