Individual
SCOTT DAVID KONCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8609
Mailing address
3085 CUMBERLAND LN APT 101, BEAVERCREEK, OH 45431-8621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.093013
OH
Other
Enumeration date
08/29/2007
Last updated
11/21/2017
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