WAN IN L KOO

O FALLON, MO
NPI1871554865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2002009359)
Enumeration Date2006-03-29
Last Update Date2020-10-23
Business Address
Dr. WAN IN L KOO D.O.
1101 HIGHWAY K
O FALLON, MO 63366-8431
Phone number: 636-379-8138
Mailing Address
Dr. WAN IN L KOO D.O.
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number: