Individual
MR. ERIC KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
6828 E BROWN RD, # 102, MESA, AZ 85207-3761
(480) 981-8650
Mailing address
6828 E BROWN RD, # 102, MESA, AZ 85207-3761
(480) 981-8650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133659
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP5215
AZ
Other
Enumeration date
06/04/2013
Last updated
10/01/2013
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