Kotoske, Thomas G

Kotoske, Thomas G is an individual health care provider with primary practice located at 19636 N 27Th Ave #101, Phoenix AZ 85027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Kotoske, Thomas G can be contacted via phone (623) 516-2639.

Contact Information

Primary practice address
19636 N 27Th Ave #101 Phoenix AZ 85027
Phone: (623) 516-2639
Fax: (623) 580-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 3065 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 3065 Arizona

Profile Details

NPI number 1861571960
LBN Legal business name Kotoske, Thomas G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861571960 NPPES
Arizona MEDICAID 329145

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