Provider Demographics
NPI:1154327815
Name:KOZINN, STUART CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:CRAIG
Last Name:KOZINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6035 E MONTECITO AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1943
Mailing Address - Country:US
Mailing Address - Phone:480-994-1149
Mailing Address - Fax:480-994-8681
Practice Address - Street 1:9700 N 91ST ST STE A115
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5036
Practice Address - Country:US
Practice Address - Phone:480-994-1149
Practice Address - Fax:480-994-8681
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2018-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ17569207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ276479Medicaid
AZ276479Medicaid