Individual
PETER KOENIG PA-C
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 E 104TH AVE STE 115, THORNTON, CO 80233-4402
(303) 452-2766
(303) 252-8694
Mailing address
2200 E 104TH AVE STE 115, THORNTON, CO 80233-4402
(303) 452-2766
(303) 252-8694
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0004394
CO
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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