Scott David Koncal MD

NPI 1477747855 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1477747855
Gender Male
Enumeration Date 08/29/2007
Last Updated 08/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3535 SOUTHERN BLVD
KETTERING OH, 45429-1221, US
Phone (937) 395-8609
Fax
Business Location
3085 CUMBERLAND LN APT 101
BEAVERCREEK OH, 45431-8621, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Ohio
License Number 57-013192
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According to our database, Scott David Koncal MD NPI is 1477747855, taxonomy code is 390200000X and license number is 57-013192, license state is located at Ohio. Scott David Koncal MD physically located at 3535 Southern Blvd, Kettering OH, 45429-1221. NPI Number Scott David Koncal MD has the Individual type.

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1477747855 NPI number is provided on an as is basis without warranty of any kind. 1477747855 is maintained by the National Plan & Provider Enumeration System. The contents of Scott David Koncal MD are for informational purposes only.