Nicholas Leo Koshuta, O.D.
NPI #1992701494 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1992701494
- Entity Type
- Individual
- Name
- Nicholas Leo Koshuta, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jun 21, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2820 N GLASSFORD HILL RD
- Address 2
- STE 101
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314-2256
- Phone
- (928) 775-5606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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