Alisa Kosmitis M.C.D

NPI 1700190311 - Audiologist - 231H00000X

NPI Details
NPI 1700190311
Gender Female
Enumeration Date 08/06/2010
Last Updated 01/12/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1408 W 43RD AVE
PINE BLUFF AR, 71603-7010, US
Phone (870) 535-5719
Fax (870) 536-1963
Business Location
1408 W 43RD AVE
PINE BLUFF AR, 71603-7010, US
Phone (870) 535-5719
Fax (870) 536-1963
Toxanomy
Taxonomy Code 231H00000X
License State Arkansas
License Number A#117
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According to our database, Mrs. Alisa Kosmitis M.C.D NPI is 1700190311, taxonomy code is 231H00000X and license number is A#117, license state is located at Arkansas. Alisa Kosmitis M.C.D physically located at 1408 W 43rd Ave, Pine Bluff AR, 71603-7010. NPI Number Alisa Kosmitis M.C.D has the Individual type.

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1700190311 NPI number is provided on an as is basis without warranty of any kind. 1700190311 is maintained by the National Plan & Provider Enumeration System. The contents of Alisa Kosmitis M.C.D are for informational purposes only.