Individual
DR. THOMAS P KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W POPLAR ST, HOSPITALISTS, WALLA WALLA, WA 99362-2846
(509) 522-5145
(509) 522-5184
Mailing address
PO BOX 34439, SEATTLE, WA 98124-1439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60095228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861504029
—
WA
05
—
500615075
—
OR
Enumeration date
08/31/2006
Last updated
03/22/2012
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