Individual
PETER CONSTANTINE KOUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
105 SUGAR CAMP CIR, STE 200, DAYTON, OH 45409-1962
(937) 222-3937
(937) 223-5416
Mailing address
105 SUGAR CAMP CIR, STE 200, DAYTON, OH 45409-1962
(937) 222-3937
(937) 223-5416
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34003248K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0552469
—
OH
Enumeration date
09/20/2006
Last updated
11/14/2013
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