| NPI | 1013188507 |
|---|---|
| Former Legal Business Name | RICHARD KOENIG |
| Entity Type | Organization |
| Authorized Contact | ANDY CHAUSER Adminstrator 866-955-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |