STEPHANIE LYNN KOONCE

IDAHO FALLS, ID
NPI1609035807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WY  391)
Enumeration Date2008-06-03
Last Update Date2023-03-21
Business Address
STEPHANIE LYNN KOONCE PA-C
1957 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-523-1100
Mailing Address
STEPHANIE LYNN KOONCE PA-C
1957 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-523-1100