Individual
DR. ANDREW KOOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
(360) 733-8320
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8484
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
60886566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60886566
WA LICENSE
WA
Enumeration date
04/01/2014
Last updated
10/02/2019
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