Michael Roy Koteles JR. M.D.

NPI 1093799959 - Internal Medicine - 207R00000X

NPI Details
NPI 1093799959
Gender Male
Enumeration Date 12/05/2005
Last Updated 04/26/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1809, US
Phone (707) 423-7963
Fax
Business Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1809, US
Phone (707) 423-7963
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number MD00044508
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According to our database, Dr. Michael Roy Koteles JR. M.D. NPI is 1093799959, taxonomy code is 207R00000X and license number is MD00044508, license state is located at Washington. Michael Roy Koteles JR. M.D. physically located at 101 Bodin Cir, Travis Afb CA, 94535-1809. NPI Number Michael Roy Koteles JR. M.D. has the Individual type.

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1093799959 NPI number is provided on an as is basis without warranty of any kind. 1093799959 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Roy Koteles JR. M.D. are for informational purposes only.