Organization
DAVID W KOONTZ DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W KOONTZ DO (OWNER)
(740) 788-9633
Entity
Organization
Contact information
Practice address
30 MESSIMER DRIVE, NEWARK, OH 43055-1525
(740) 788-9633
(740) 788-9649
Mailing address
30 MESSIMER DRIVE, NEWARK, OH 43055-1525
(740) 788-9633
(740) 788-9649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K34004321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747204
—
OH
Enumeration date
07/26/2006
Last updated
12/10/2010
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