Individual
MR. STEVEN J KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
212 SKYLINE DR, WHITE SALMON, WA 98672-1519
(509) 493-2133
(509) 493-9544
Mailing address
PO BOX 1519, WHITE SALMON, WA 98672-1519
(509) 493-2133
(509) 493-9544
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001198
WA
Other
Enumeration date
01/10/2007
Last updated
07/10/2007
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