Organization
DAVID E KONN MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIC KONN M.D. (PRESIDENT)
(360) 533-4442
Entity
Organization
Contact information
Practice address
1606 SIMPSON AVE, ABERDEEN, WA 98520-4608
(360) 533-4442
(360) 533-1060
Mailing address
1606 SIMPSON AVE, ABERDEEN, WA 98520-4608
(360) 533-4442
(360) 533-1060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00024563
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032572
—
WA
Enumeration date
01/13/2010
Last updated
01/13/2010
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