Individual
JOHN PAUL KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3207 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0578
(573) 636-5115
(573) 636-2818
Mailing address
3207 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0578
(573) 636-5115
(573) 636-2818
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R1D96
MO
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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