Individual
DR. BENJAMIN CHRISTOPHER KONIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(615) 540-9161
Mailing address
1326 E ALLEN RD APT 11, TAHLEQUAH, OK 74464-2253
(615) 540-9161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2893
OK
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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