Individual
JAMES RICHARD KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
7541 CIPRIANO CT, FAIRHOPE, FAIRHOPE, AL 36532-3029
(251) 929-7850
(251) 929-2500
Mailing address
7541 CIPRIANO CT, FAIRHOPE, FAIRHOPE, AL 36532-3029
(251) 929-7850
(251) 929-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23669
AL
208600000X
Surgery Physician
23701
OK
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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