Individual
DAVID W KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
34004321
OH
207R00000X
Internal Medicine Physician
Primary
K34004321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747204
—
OH
Enumeration date
07/28/2006
Last updated
03/24/2023
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