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Individual

DR. DENNIS THOMAS COZZENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1707 OSAGE ST, SUITE 404, ALEXANDRIA, VA 22302-2607
(703) 824-8248
(703) 824-8212
Mailing address
1707 OSAGE ST, SUITE 404, ALEXANDRIA, VA 22302-2607
(703) 824-8248
(703) 824-8212

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101038031
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101038031
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
063693
VALUE OPTIONS
VA
01
110806
KAISER PERMANENTE
VA
01
224524
ANTHAM
VA
01
224525
ANTHAM
VA
Enumeration date
11/07/2006
Last updated
08/21/2013
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