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Organization
KOENIG IMPLANT INC
Active
Organization
KOENIG IMPLANT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D KOENIG DPM (PRESIDENT)
(865) 851-2926
Entity
Organization
Contact information
Practice address
4104 N 50TH AVE, HOLLYWOOD, FL 33021-1617
(865) 851-2926
(954) 964-6397
Mailing address
4104 N 50TH AVE, HOLLYWOOD, FL 33021-1617
(865) 851-2926
(954) 964-6397
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
677
TN
Other
Enumeration date
11/14/2007
Last updated
11/15/2007
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