Warren Koontz M.D.

NPI 1023090289 - Specialist - 174400000X

NPI Details
NPI 1023090289
Gender Male
Enumeration Date 11/15/2005
Last Updated 01/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1800 GLENSIDE DR STE 110
RICHMOND VA, 23226-3769, US
Phone (804) 288-1800
Fax (804) 288-0515
Business Location
1800 GLENSIDE DR
SUITE 105
RICHMOND VA, 23226-3769, US
Phone (804) 288-0399
Fax (804) 285-0088
Toxanomy
Taxonomy Code 174400000X
License State Virginia
License Number 0101048298
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According to our database, Dr. Warren Koontz M.D. NPI is 1023090289, taxonomy code is 174400000X and license number is 0101048298, license state is located at Virginia. Warren Koontz M.D. physically located at 1800 Glenside Dr Ste 110, Richmond VA, 23226-3769. NPI Number Warren Koontz M.D. has the Individual type.

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1023090289 NPI number is provided on an as is basis without warranty of any kind. 1023090289 is maintained by the National Plan & Provider Enumeration System. The contents of Warren Koontz M.D. are for informational purposes only.