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Individual

DR. GEORGE HENRY KOENIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
79963 RANCHO LA QUINTA DR, LA QUINTA, CA 92253-6330
(760) 771-4141
(760) 771-4443
Mailing address
79963 RANCHO LA QUINTA DR, LA QUINTA, CA 92253-6330
(760) 771-4141
(760) 771-4443

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
AFE19817
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AFE19817
CALIFORNIA MEDICAL LICENSE NUMBER
CA
Enumeration date
01/09/2013
Last updated
01/09/2013
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