Individual provider · Type 1 NPI

Jason James Koczman, PA-C

Surgical Physician Assistant · Sun City, AZ

NPI number 1376648782 Active

Practice location

10484 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-6019

Call (866) 974-2673 Map

Fax (866) 939-2673

Mailing address

18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7302 (AZ)
Surgical Physician Assistant Primary 363AS0400X7302 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1376648782

Jason James Koczman, PA-C's National Provider Identifier is 1376648782, issued on Sep 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sun City, AZ. The record was last updated on Aug 13, 2025.