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Individual

MR. THOMAS MICHAEL KOONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-5435
Mailing address
3123 RIVA RD, UNIT 615, RIVA, MD 21140-7528

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002522
MD

Other

Enumeration date
08/25/2006
Last updated
12/08/2016
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