Individual
JOHN H. KOEWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
555 S SCHWARTZ AVE, FARMINGTON, NM 87401-5955
(505) 327-4998
Mailing address
555 S SCHWARTZ AVE, FARMINGTON, NM 87401-5955
(505) 327-4998
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
501
NM
Other
Enumeration date
08/08/2006
Last updated
05/29/2013
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