Individual
DR. THOMAS FRANCIS KOZLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4212 N 16TH ST, PHOENIX INDIAN MEDICAL CENTER, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1618
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 263-1618
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301093278
MI
207Y00000X
Otolaryngology Physician
Primary
MD009965E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604893
—
PA
01
—
0F96004
GROUP MEDICARE ID NUMBER
MI
01
—
867633
GROUP MEDICARE #
—
01
—
MD009965E
MEDICAL LICENSE
PA
Enumeration date
04/14/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us