THOMAS G KOTOSKE DO NPI 1861571960

NPI Information

Thomas G Kotoske, DO is an otolaryngology/facial plastic surgery otolaryngology in Phoenix, AZ. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Thomas G Kotoske, DO NPI is 1861571960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19636 N 27TH AVE
#101
PHOENIX, AZ
ZIP 85027
Phone: (623) 516-2639
Fax: (623) 580-0019

The CLIA number assigned to this NPI record is 03D0979127 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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