Richard M Kootman is a Specialist in Peoria, Arizona. Richard M Kootman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard M Kootman is 1700896149. The last update date is 2007-12-05.
Richard M Kootman's current location address is 13943 N 91st Ave Bldg G, Peoria, Arizona. You can contact this provider via phone number 6235611995 and fax number 6235612446. The mailing address for Richard M Kootman is 13943 N 91st Ave Bldg G, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard M Kootman |
|---|---|
| Address | 13943 N 91st Ave Bldg G, Peoria, Arizona |
| Phone Number | 6235611995 |
| Fax Number | 6235612446 |
| Sole Proprietor | Y |
| Credentials | M.D., P.C. |
NPI Number Detail
| NPI Number | 1700896149 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 13943 N 91st Ave Bldg G |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853813687 |
| Phone Number | 6235611995 |
| Fax Number | 6235612446 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 19610 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Richard M Kootman?
The Richard M Kootman has been issued the NPI (National Provider Identifier) 1700896149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Richard M Kootman is physically located?
The Richard M Kootman is physically situated at the following address: 13943 N 91St Ave Bldg G, Peoria, AZ, 853813687.
What is the area of specialization for Richard M Kootman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard M Kootman is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did Richard M Kootman receive its 1700896149 assignment from the Centers for Medicare & Medicaid Services?
The Richard M Kootman was assigned its 1700896149 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Richard M Kootman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard M Kootman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-05.