Individual
DR. CHARLES STEPHEN KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
615 N WAYNE ST, PIQUA, OH 45356-2015
(937) 773-8905
(937) 778-8465
Mailing address
615 N WAYNE ST, PIQUA, OH 45356-2015
(937) 773-8905
(937) 778-8465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2849 T523
OH
Other
Enumeration date
02/10/2007
Last updated
12/05/2008
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