Individual
DAVID JOHN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-2070
(910) 721-2074
Mailing address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-2070
(910) 721-2074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
297471
IA
207R00000X
Internal Medicine Physician
R8N75
MO
208M00000X
Hospitalist Physician
Primary
2009-01147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229063
RR MEDICARE
IA
05
—
2107425
—
IA
Enumeration date
01/04/2006
Last updated
07/10/2023
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