Organization
ANNIE M. KONTOS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE MARIA KONTOS D.O. (PHYSICIAN/OWNER)
(319) 235-3158
Entity
Organization
Contact information
Practice address
305 E SAN MARNAN DR, WATERLOO, IA 50702-5837
(319) 235-3158
Mailing address
305 E SAN MARNAN DR, WATERLOO, IA 50702-5837
(319) 235-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02475
IA
Other
Enumeration date
11/04/2007
Last updated
02/02/2009
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