Individual
DR. TOMMY ROLAND KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 WOODLORE CIRCLE, LITTLE ROCK, AR 72211-2317
(501) 225-0735
(501) 225-0735
Mailing address
43 WOODLORE CIRCLE, LITTLE ROCK, AR 72211-2317
(501) 225-0735
(501) 225-0735
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C4614
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124245
PIN
—
Enumeration date
10/20/2006
Last updated
07/08/2007
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