| Dexter D Koons, MD | |
|
400 W 16th St, Pueblo, CO 81003-2745 | |
| (719) 320-3515 | |
| (719) 543-1309 |
| Full Name | Dexter D Koons |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 400 W 16th St, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528068228 | NPI | - | NPPES |
| 01284132 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 28413 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter D Koons, MD Po Box 8561, Pueblo, CO 81008-8516 Ph: (719) 320-3515 | Dexter D Koons, MD 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 320-3515 |
Raymond Lilly Jr., M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Ste 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 | |
Christopher Traut, PA-C Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 | |
Dr. William Y Lu, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N. Grand Ave., Ste 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 | |
Ali K Murad, M.D Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 North Grand Ave, Suite 508, Pueblo, CO 81003 Phone: 719-595-7040 Fax: 719-595-7045 |