Organization
GARDEN VALLEY FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R KOENIG MD (OWNER)
(208) 462-3533
Entity
Organization
Contact information
Practice address
856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID 83622
(208) 462-3533
(208) 462-3736
Mailing address
PO BOX 270, GARDEN VALLEY, ID 83622-0270
(208) 462-3533
(208) 462-3736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
03/17/2018
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