Stephanie L Koonce MD
Surgery, Plastic and Reconstructive Surgery in Rogers, AR. Organization (NPI-2).
NPI number1457071060
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1457071060
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephanie L Koonce MD
- Organization subpart
- No
- Enumeration date
- Sep 1, 2022
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
| 208200000X | Plastic Surgery | – | – | |
| 2082S0099X | Plastic Surgery, Plastic Surgery Within the Head and Neck | – | – |
Other names
- Ecosse Plastic Surgery (Doing Business As)
Practice location
3301 S Market St Ste 205Rogers, AR 72758-7700
Phone 479-276-6888 · Fax 479-309-4222
Mailing address
8401 Mile Tree DrFort Smith, AR 72903-4320
Phone 479-719-0862
Other practice locations
7901 Dallas St
Fort Smith, AR 72903-4281
Fort Smith, AR 72903-4281
Phone 479-276-6888 · Fax 470-309-4222
Authorized official
Stephanie Leighann Koonce
Manager/Owner
4797190862
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