Individual
LOUIS KONCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
910 W 5TH AVE, SUITE 801, SPOKANE, WA 99204-2966
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002777
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8328841
—
WA
Enumeration date
08/18/2005
Last updated
06/13/2011
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