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

Samuel John Kozloff, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821521337

Samuel John Kozloff, MD is a Student in an Organized Health Care Education/Training Program in Bountiful, Utah. Works from 2 locations. Licensed in New York and Utah.

Licensed in
NY, UT
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 Medical Dr
Bountiful, UT 84010-4908
Phone: (775) 204-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-5506

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 11942247-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11942247-1205 (UT)

Record details

NPI number1821521337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address550 1st Ave, New York, NY 10016-6402

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