Dexter D Koons Md Pc in Pueblo - Specialist
Dexter D Koons Md Pc - NPI 1336102086
Dexter D Koons Md Pc is a Specialist in Pueblo, Colorado. Dexter D Koons Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dexter D Koons Md Pc is 1336102086. The last update date is 2016-11-10.
Dexter D Koons Md Pc's current location address is Po Box 8561, Pueblo, Colorado. You can contact this provider via phone number 7193203515 and fax number 7195431309. The mailing address for Dexter D Koons Md Pc is Po Box 8561, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dexter D Koons Md Pc |
|---|---|
| Address | Po Box 8561, Pueblo, Colorado |
| Phone Number | 7193203515 |
| Fax Number | 7195431309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Koons D Dexter |
| Credentials | M.D. |
| Telephone Number | 7192966872 |
NPI Number Detail
| NPI Number | 1336102086 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2016-11-10 |
Provider Mailing Address Detail
| Address | Po Box 8561 |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810088561 |
| Phone Number | 7193203515 |
| Fax Number | 7195431309 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4013876 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dexter D Koons Md Pc by the Centers for Medicare & Medicaid Services?
The Dexter D Koons Md Pc has been assigned the NPI (National Provider Identifier) 1336102086. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dexter D Koons Md Pc's facilities are geographically located?
The facilities of Dexter D Koons Md Pc are physically situated at the following location: Po Box 8561, Pueblo, CO, 810088561.
What is the Dexter D Koons Md Pc's specialty and taxonomy code?
The Dexter D Koons Md Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1336102086 assigned to Dexter D Koons Md Pc?
The Dexter D Koons Md Pc was issued its 1336102086 on 2006-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dexter D Koons Md Pc last refreshed?
The information related to the Dexter D Koons Md Pc, including its address, specialty, and other relevant details, was last updated on 2016-11-10.
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