JUSTIN KOSIROG

OKLAHOMA CITY, OK
NPI1255726238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: OK  35686)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-06
Last Update Date2020-05-27
Business Address
JUSTIN KOSIROG
800 STANTON L YOUNG BLVD # WP1345
OKLAHOMA CITY, OK 73104-5018
Phone number: 405-271-5428
Mailing Address
JUSTIN KOSIROG
800 STANTON L YOUNG BLVD # WP1345
OKLAHOMA CITY, OK 73104-5018
Phone number: 405-271-5428