Individual
ADAM KOERTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MEDICAL GROUP, 77 NEALY AVE, LANGLEY AFB, VA 23665-2023
(757) 764-6800
Mailing address
1ST MEDICAL GROUP, 77 NEALY AVE, LANGLEY AFB, VA 23665-2023
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101242432
VA
207P00000X
Emergency Medicine Physician
23443
NE
Other
Enumeration date
08/05/2006
Last updated
06/30/2008
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