Provider Demographics
NPI:1205348745
Name:KOZIN, ADAM FREDRICK (ND)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:FREDRICK
Last Name:KOZIN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7331 E OSBORN DR STE 330
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6444
Mailing Address - Country:US
Mailing Address - Phone:480-990-1111
Mailing Address - Fax:
Practice Address - Street 1:7331 E OSBORN DR STE 330
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6444
Practice Address - Country:US
Practice Address - Phone:480-990-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17-1670175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath