Individual
HIROKI KOMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 KINGS HWY, ANESTHESIOLOGY, SHREVEPORT, LA 71103-4228
(318) 675-7195
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
007847
AZ
Other
Enumeration date
04/01/2015
Last updated
04/29/2020
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