Individual
PATRICIA CLAIRE KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 BUSINESS LOOP 70 W, COLUMBIA, MO 65203-3248
(573) 884-0033
(573) 884-5226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-8612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R1D69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206971319
—
MO
Enumeration date
09/19/2007
Last updated
06/06/2011
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