Individual
RICHARD JUNEYOUNG KO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14820 PHYSICIANS LN, 242, ROCKVILLE, MD 20850-3945
(301) 838-9606
Mailing address
4101 HUNT RD, FAIRFAX, VA 22032-1461
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D44813
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80625675
TRICARE
—
Enumeration date
06/05/2006
Last updated
07/08/2007
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