ARIZONA INSTITUTE OF GERIATRIC MEDICINE
Ambulatory Health at Thunderbird Blvd, Sun City, AZ

License number
Arizona 29375
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. DIANA B KOSS MD
Title: OWNER/PHYSICIAN
Phone: (602) 815-8887
Address
Address 2
10503 W Thunderbird Blvd #366, Sun City, AZ 85351
PO Box 26048, Scottsdale, AZ 85255
National Provider ID: 1467633784
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARIZONA INSTITUTE OF GERIATRIC MEDICINE, P.L.C

Sun City, AZ

Status:
Inactive
Industry:
Specialty Hospital
Doing business as:
Arizona Institute of Geriatric Medicine
Registration:
Jan 24, 2002
Addresses:
10503 W Thunderbird #366, Sun City, AZ 85351 (Physical)
10503 W Thunderbird Blvd, Sun City, AZ 85351
State ID:
P-1016542-6
Expiration:
PERPETUAL
Manager, Medical Doctor:
Diana B Koss (Manager, Medical Doctor), 10503 W Thunderbird #366, Phoenix, AZ 85028 (Physical)
Agent:
Lofy Service Agent Llc,11120 N Tatum Blvd #101, Phoenix, AZ 85028 (Physical)

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