Dexter D Koons Md Pc

LBN: Dexter D Koons Md Pc
Dexter D Koons Md Pc is an health care organization with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dexter D Koons Md Pc can be contacted via phone (719) 320-3515, or through Koons, Dexter D via phone (719) 296-6872.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 320-3515
Fax: (719) 543-1309
Website:
Map and Directions
Authorized official contact:
Name: Koons, Dexter D Doctor of Medicine (MD)
Phone: (719) 296-6872

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1336102086
LBN Legal business name Dexter D Koons Md Pc
DBA Doing business as
Authorized official Koons, Dexter D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 10th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336102086 NPPES
Colorado MEDICAID 04013876

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