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Individual

DR. PAUL KOUTRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
580 COURT ST, KEENE, NH 03431-1715
(603) 354-6580
(603) 357-0059
Mailing address
217 OLD HOMESTEAD HWY, SWANZEY, NH 03446-2140
(603) 352-5881
(603) 357-0059

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10089
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30010687
NH
Enumeration date
04/25/2006
Last updated
07/12/2007
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