Organization
MA KOYLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN ALLEN KOYLE (CEO/PRESIDENT)
(818) 915-1199
Entity
Organization
Contact information
Practice address
1925 BLAKE ST, SUITE 101, DENVER, CO 80202-1289
(818) 915-1199
Mailing address
4924 BALBOA BLVD, SUITE 138, ENCINO, CA 91316-3402
(818) 915-1199
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29391
CO
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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