Individual
FRANK KOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 S SIWELL RD, BYRAM, MS 39272-9772
(601) 373-1234
(601) 373-1397
Mailing address
7300 S SIWELL RD, BYRAM, MS 39272-9772
(601) 373-1234
(601) 373-1397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07682
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115971
—
MS
Enumeration date
08/03/2006
Last updated
07/08/2007
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