Individual
DR. BON CHUL KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4853 GALAXY PKWY, SUITE I, CLEVELAND, OH 44128-5973
(216) 831-9786
(216) 831-2425
Mailing address
4853 GALAXY PKWY, SUITE I, CLEVELAND, OH 44128-5973
(216) 831-9786
(216) 831-2425
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35043277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404075
—
OH
Enumeration date
08/25/2005
Last updated
06/27/2014
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