Individual
DR. KOEN W. ELSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
340 W MAIN ST, ABINGDON, VA 24210-2624
(276) 628-3118
(276) 628-8342
Mailing address
340 W MAIN ST, ABINGDON, VA 24210-2624
(276) 628-3118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003117
VA
Other
Enumeration date
05/13/2022
Last updated
06/28/2022
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