Organization
KOTZAN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP DAVID KOTZAN DC (OWNER)
(408) 373-6094
Entity
Organization
Contact information
Practice address
1150 WHITE OAK WAY, SAN CARLOS, CA 94070-5109
(650) 593-3500
Mailing address
1150 WHITE OAK WAY, SAN CARLOS, CA 94070-5109
(650) 593-3500
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC30809
CA
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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