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NPI Code Detail

MEDICARE: DR. STUART CRAIG KOZINN M.D.

MEDICARE: DR. STUART CRAIG KOZINN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician17569AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154327815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART CRAIG KOZINN M.D.
Provider Business Mailing Address
First Line : 6035 E MONTECITO AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-1943
Country : US
Telephone Number : 480-994-1149
Fax Number : 480-994-8681
Provider Business Practice Location Address
First Line : 9700 N 91ST ST STE A115
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5036
Country : US
Telephone Number : 480-994-1149
Fax Number : 480-994-8681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 04/18/2018

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