Individual
JASON KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-5459
(919) 970-6452
Mailing address
3919 STERLING RIDGE LN, DURHAM, NC 27707-5459
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
110495
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
110495
NC
Other
Enumeration date
04/13/2008
Last updated
08/06/2025
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