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Dr. Richard M Kootman, MD,PC
Specialist in Peoria, Arizona
NPI 1700896149

Richard M Kootman is a Specialist based in Peoria, AZ. Richard M Kootman practices in Peoria, AZ and has the professional credentials of MD,PC. The NPI Number for Richard M Kootman is 1700896149 and holds a License No. 19610 (Arizona).

The current practice location address for Richard M Kootman is 13943 N 91St Ave Bldg G, Peoria, AZ and can be reached out via phone at 623-561-1995 and via fax at 623-561-2446.

Location: 13943 N 91St Ave Bldg G, Peoria, AZ, 85381-3687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700896149
Provider Name
Richard M Kootman
Credential
MD,PC
Provider Entity Type
Individual
Gender
Male
Address
13943 N 91St Ave Bldg G, Peoria, AZ, 85381-3687
Phone Number
623-561-1995
Fax Number
623-561-2446
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13943 N 91St Ave Bldg G
City
Peoria
State
Arizona
Zip
85381-3687
Phone Number
623-561-1995
Fax Number
623-561-2446
person
Provider Business Mailing Address Details
Address
13943 N 91St Ave Bldg G
City
Peoria
State
Arizona
Zip
85381-3687
Phone Number
623-561-1995
Fax Number
623-561-2446
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
19610 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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