David R Koris D.P.M.

NPI 1073595963 - Podiatrist - 213E00000X

NPI Details
NPI 1073595963
Gender Male
Enumeration Date 11/16/2005
Last Updated 09/09/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
29099 HEALTH CAMPUS DR
SUITE 345
WESTLAKE OH, 44145-5200, US
Phone (440) 835-6122
Fax (440) 899-4355
Business Location
29099 HEALTH CAMPUS DR
SUITE 345
WESTLAKE OH, 44145-5200, US
Phone (440) 835-6122
Fax (440) 899-4355
Toxanomy
Taxonomy Code 213E00000X
License State Ohio
License Number 36-001635
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According to our database, Dr. David R Koris D.P.M. NPI is 1073595963, taxonomy code is 213E00000X and license number is 36-001635, license state is located at Ohio. David R Koris D.P.M. physically located at 29099 Health Campus Dr, Westlake OH, 44145-5200. NPI Number David R Koris D.P.M. has the Individual type.

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1073595963 NPI number is provided on an as is basis without warranty of any kind. 1073595963 is maintained by the National Plan & Provider Enumeration System. The contents of David R Koris D.P.M. are for informational purposes only.