Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koryakos Koryakos Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801737267

Koryakos Koryakos Jr. is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 W Tamarisk St, Phoenix, AZ 85041-2422 — (602) 344-6600

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1801737267
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

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