Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | B01252 | NV |
N | 111NN1001X | Nutrition | B01252 | NV |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | B01252 | NV |
NPI | 1407166010 |
---|---|
Provider Name | Joseph Anthony Cozza |
First Address | Las Vegas, NV 89140-1805 |
Second Address | Las Vegas, NV 89131-1038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 16/09/2013 |