Organization · NPI-2

Allan Carl Koenig M.D.

General Practice · Thornton, CO

NPI number1790974343
StatusActive
Last updated in NPPESJun 26, 2008

Details

NPI
1790974343
Entity type
Organization (NPI-2)
Legal business name
Allan Carl Koenig M.D.
Organization subpart
No
Enumeration date
Oct 19, 2007
Last updated
Jun 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice26131COYes

Other names

  • Platte Valley Medical Clinic (Doing Business As)

Practice location

3959 E 120th Ave
Thornton, CO 80233-1657

Phone 303-452-4343 · Fax 303-452-3055

Mailing address

3959 E 120th Ave
Thornton, CO 80233-1657

Phone 303-452-4343 · Fax 303-452-3055

Authorized official

Allan Koenig
Owner/Presdient
3034524343

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