Organization
RICHARD KOZOLL, MD, LOS PINOS FAMILY HEALTH
Active
Other names
Los Pinos Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KOZOLL M.D. (PROPRIETOR)
(505) 289-3326
Entity
Organization
Contact information
Practice address
6362 MAIN STREET, CUBA, NM 87013
(505) 289-3326
(505) 289-3390
Mailing address
PO BOX 1659, CUBA, NM 87013-1659
(505) 289-3326
(505) 289-3390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72-173
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46338
—
NM
Enumeration date
08/10/2006
Last updated
08/22/2020
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