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Organization

STEPHANIE L KOONCE MD

Active
Other names
Ecosse Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE LEIGHANN KOONCE MD (MANAGER/OWNER)
(479) 719-0862
Entity
Organization

Contact information

Practice address
3301 S MARKET ST STE 205, ROGERS, AR 72758-7700
(479) 276-6888
(479) 309-4222
Mailing address
8401 MILE TREE DR, FORT SMITH, AR 72903-4320
(479) 719-0862

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200783620A
OK
05
227580001
AR
Enumeration date
09/01/2022
Last updated
10/10/2023
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