Individual
ALEX G KAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3789
(712) 279-3613
Mailing address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3789
(712) 279-3613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18304
NE
207P00000X
Emergency Medicine Physician
Primary
28495
IA
207R00000X
Internal Medicine Physician
28495
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240446
COVENTRY
NE
01
—
3228
MIDLANDS CHOICE
NE
01
—
7465
BCBS NE
NE
01
—
P00191999
RR
NE
Enumeration date
03/28/2006
Last updated
02/19/2008
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