Organization · Type 2 NPI

Richard M. Kootman M.d.,p.c.

Specialist · Peoria, AZ

NPI number 1467634477 Active

Practice location

13943 N. 91st Ave Bldg G
Peoria, AZ 85381-3687

Call (623) 561-1995 Map

Fax (623) 561-2446

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19610 (AZ)

Specialist: 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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About NPI 1467634477

Richard M. Kootman M.d.,p.c.'s National Provider Identifier is 1467634477, issued on Nov 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, AZ. The record was last updated on Jul 1, 2008.