Individual
DR. JOHN H KOSTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 E NORTHERN AVE, SUITE 103, PHOENIX, AZ 85020-3960
(602) 200-9021
(602) 200-9087
Mailing address
5626 E MONTECITO AVE, PHOENIX, AZ 85018-3223
(480) 945-1748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268674
—
AZ
Enumeration date
03/02/2006
Last updated
10/11/2011
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