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Dr. Nicholas Leo Koshuta, O.D.

NPI Number 1992701494

Practice Location

  • 2820 N Glassford Hill Rd
    Prescott Valley, AZ 86314
  • Phone: (928) 775-5606
  • Fax: (928) 772-4999

Business Location

  • 2820 N Glassford Hill Rd
    Prescott Valley, AZ 86314
  • Phone: (928) 775-5606
  • Fax: (928) 772-4999

Other Information

  • Enumeration date: 06/21/2005
  • Last updat date: 07/08/2007
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 152W00000X
  • License number: 1264
  • License number state code: AZ
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1992701494 is assigned to Dr. Nicholas Leo Koshuta, O.d.. Dr. Nicholas Leo Koshuta, O.d. is practice in Prescott Valley, AZ 86314 with phone number 9287755606. The number of page view of Dr. Nicholas Leo Koshuta, O.d. is 42.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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