Organization Name: | ALLAN CARL KOENIG M.D. |
NPI Number: | 1790974343 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLAN KOENIG (OWNER/PRESDIENT) |
Mailing Address: | 3959 E 120th Ave Thornton |
State: | CO US |
Postal Code: | 802331657 |
Phone Number: | 3034524343 |
Fax Number: | 3034523055 |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 26131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |