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1740397512
THOMAS MICHAEL KOONTZ
WASHINGTON, DC
NPI
1740397512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0002522)
Enumeration Date
2006-08-25
Last Update Date
2016-12-08
Business Address
Mr. THOMAS MICHAEL KOONTZ PA-C
6900 GEORGIA AVE NW
WASHINGTON, DC 20307-0003
Phone number: 202-782-5435
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Mailing Address
Mr. THOMAS MICHAEL KOONTZ PA-C
3123 RIVA RD UNIT 615
RIVA, MD 21140-7528
Phone number:
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