Clyde Harry Koontz in Tacoma - Pulmonary Disease
Clyde Harry Koontz - NPI 1184617607
Clyde Harry Koontz is a Pulmonary Disease in Tacoma, Washington. Clyde Harry Koontz practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Clyde Harry Koontz is 1184617607. The last update date is 2008-09-12.
Clyde Harry Koontz's current location address is 316 Martin Luther King Jr Way Ste 401, Tacoma, Washington. You can contact this provider via phone number 2535725140 and fax number 2532720419. The mailing address for Clyde Harry Koontz is 316 Martin Luther King Jr Way Ste 401, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Harry Koontz |
|---|---|
| Address | 316 Martin Luther King Jr Way Ste 401, Tacoma, Washington |
| Phone Number | 2535725140 |
| Fax Number | 2532720419 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184617607 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2008-09-12 |
Provider Mailing Address Detail
| Address | 316 Martin Luther King Jr Way Ste 401 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984054266 |
| Phone Number | 2535725140 |
| Fax Number | 2532720419 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 14794 |
|
Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 756291101 | WA | RR MEDICARE | |
| 13531-01 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clyde Harry Koontz by the Centers for Medicare & Medicaid Services?
The Clyde Harry Koontz has been assigned the NPI (National Provider Identifier) 1184617607. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clyde Harry Koontz's facilities are situated?
The facilities of Clyde Harry Koontz are physically located at the following address: 316 Martin Luther King Jr Way Ste 401, Tacoma, WA, 984054266.
What is Clyde Harry Koontz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clyde Harry Koontz's area of specialization is Pulmonary Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rp1001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184617607 to Clyde Harry Koontz?
The Centers for Medicare & Medicaid Services assigned the 1184617607 to Clyde Harry Koontz on 2005-08-30.
As of what date were the details pertaining to Clyde Harry Koontz last refreshed?
The information related to the Clyde Harry Koontz, including its address, specialty, and other relevant details, was last updated on 2008-09-12.