NPI Profile for MILBURN COZORT in BLOOMFIELD, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1295984599 |
|
| Status | Active | |
| Credentials | CASAC | |
| Entity | Individual | |
| Enumeration date | 09/11/2008 | |
| Last updated | 09/11/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MILBURN COZORT
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