Individual
DR. EDWARD DUVAL KOONCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4750
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9674
TN
Other
Enumeration date
06/15/2013
Last updated
09/29/2014
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