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Organization

KOENIG HEALTHCARE EDMOND PLLC

Active
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Organization

KOENIG HEALTHCARE EDMOND PLLC

Active
Other names
Physical Medicine of Oklahoma
Organization subpart
No

Provider details

NPI number
Authorized official
BRANT THOMAS KOENIG (PRESIDENT)
(405) 726-2727
Entity
Organization

Contact information

Practice address
800 W 18TH ST STE 100, EDMOND, OK 73013-3759
(405) 726-2727
(405) 216-5724
Mailing address
800 W 18TH ST STE 100, EDMOND, OK 73013-3759
(405) 726-2727

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—

Other

Enumeration date
05/23/2014
Last updated
02/20/2023
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