IndividualActive
Justin Kosirog
NPI 1255726238 · Gastroenterology Physician · Oklahoma City, OK
Provider details
- NPI number
- 1255726238
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
800 Stanton L Young Blvd # Wp1345
Oklahoma City, OK 73104-5018
Phone: (405) 271-5428
Approximate (ZIP-level) locationGet directions
Mailing address
800 Stanton L Young Blvd # Wp1345
Oklahoma City, OK 73104-5018
Additional practice locations (1)
- 1740 W Taylor StChicago, IL 60612-7232Phone: (866) 600-2273
Registry dates
- Enumerated
- 2015-04-06
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.