Individual
DR. CYENTHIA LOUISE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(602) 685-5211
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 266-7770
(623) 322-5325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25313
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886153
—
AZ
01
—
AZ0732650
BCBS/TRICARE
AZ
01
—
P00106274
RRMC
AZ
Enumeration date
10/12/2005
Last updated
08/07/2020
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