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Individual

DR. DAVID E KOON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6439 GARNERS FERRY RD, WJB DORN VA MEDICAL CENTER, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, WJB DORN VA MEDICAL CENTER, COLUMBIA, SC 29209-1638
(803) 776-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5172
SC

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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