Individual
BRIAN KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 341-2280
(256) 341-2278
Mailing address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 341-2280
(256) 341-2278
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0081970
OK
Other
Enumeration date
10/06/2005
Last updated
07/21/2010
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