Individual
DR. CAROLYN L KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 189-A, SAINT LOUIS, MO 63141-8232
(314) 251-5335
Mailing address
621 S NEW BALLAS RD, SUITE 189-A, SAINT LOUIS, MO 63141-8232
(314) 251-5335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005019373
MO
Other
Enumeration date
02/27/2006
Last updated
10/13/2011
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