RICHARD M KOOTMAN

PEORIA, AZ
NPI1700896149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: AZ  19610)
Enumeration Date2006-08-08
Last Update Date2007-12-05
Business Address
DR. RICHARD M KOOTMAN M.D., P.C.
13943 N 91ST AVE BLDG G
PEORIA, AZ 85381-3687
Phone number: 623-561-1995
Mailing Address
DR. RICHARD M KOOTMAN M.D., P.C.
13943 N 91ST AVE BLDG G
PEORIA, AZ 85381-3687
Phone number: 623-561-1995
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