Search › Oklahoma › 207RG0100X
Justin Kosirog
NPI 1255726238 · on the registry since 2015
Practice
- Address
- 800 Stanton L Young Blvd # Wp1345
Oklahoma City, OK 73104 - Phone
- (405) 271-5428
- Clinicians at this address
- 3
Additional practice sites
- 1740 W Taylor St, Chicago, IL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 390200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma