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Individual

DANIEL W KOONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7780 S BROADWAY STE 260, LITTLETON, CO 80122-2633
(303) 730-2883
(303) 730-2471
Mailing address
7780 S BROADWAY STE 260, LITTLETON, CO 80122-2633
(303) 730-2883
(303) 730-2471

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-46789
KS
2084N0400X
Neurology Physician
35-087358
OH
2084N0400X
Neurology Physician
Primary
DR.0053590
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000209908
UNISON
OH
01
000000503643
ANTHEM
OH
05
2672246
OH
01
363718
WELLCARE MEDICAID
OH
01
4315260
AETNA
OH
01
744032
BUCKEYE MEDICAID
OH
01
P00428932
RAILROAD MEDICARE
OH
Enumeration date
08/04/2006
Last updated
12/02/2022
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