Individual
GERARD G KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
595 CHAPEL HILLS DR, SUITE 303, COLORADO SPRINGS, CO 80920-1022
(719) 574-0310
(719) 574-6574
Mailing address
595 CHAPEL HILLS DR, SUITE 303, COLORADO SPRINGS, CO 80920-1022
(719) 574-0310
(719) 574-6574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16610
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01166107
—
CO
Enumeration date
09/14/2005
Last updated
10/17/2007
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