Organization
CENTRA OBSERVATION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KOONS (MANAGING DIRECTOR)
(434) 200-5047
Entity
Organization
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3101
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/29/2016
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