David W Koontz Do Inc | |
30 Messimer Drive Newark OH 43055-1525 | |
(740) 788-9633 | |
(740) 788-9649 |
Full Name | David W Koontz Do Inc |
---|---|
Speciality | Internal Medicine |
Location | 30 Messimer Drive, Newark, Ohio |
Authorized Official Name and Position | David W Koontz (OWNER) |
Authorized Official Contact | 7407889633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David W Koontz Do Inc 30 Messimer Drive Newark OH 43055-1525 Ph: (740) 788-9633 | David W Koontz Do Inc 30 Messimer Drive Newark OH 43055-1525 Ph: (740) 788-9633 |
NPI Number | 1558384677 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 12/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558384677 | NPI | - | NPPES |
0747204 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K34004321 (Ohio) | Primary |
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