Individual
DR. ANTHONY JAMES KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 S SOUTH ST, MOUNT AIRY, NC 27030-4422
(336) 786-4522
(335) 789-3025
Mailing address
PO BOX 1267, MOUNT AIRY, NC 27030-1267
(336) 786-4522
(335) 789-3025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
251718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03085412
—
NY
05
—
5922426
—
NC
01
—
NCA254A
MEDICARE PTAN
NC
Enumeration date
08/03/2006
Last updated
01/10/2014
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