| Albert Samuel Koenig, Iii, Pa | |
|
2420 Rogers Ave Fort Smith AR 72901-4164 | |
| (479) 782-4000 | |
| (479) 782-0265 |
| Full Name | Albert Samuel Koenig, Iii, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2420 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Albert Samuel Koenig (CORPORATION PRESIDENT) |
| Authorized Official Contact | 4797824000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Samuel Koenig, Iii, Pa 2420 Rogers Ave Fort Smith AR 72901-4164 Ph: (479) 782-4000 | Albert Samuel Koenig, Iii, Pa 2420 Rogers Ave Fort Smith AR 72901-4164 Ph: (479) 782-4000 |
| NPI Number | 1992848162 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992848162 | NPI | - | NPPES |
| 110246002 | Medicaid | AR | |
| 5B289 | Other | AR | ARKANSAS BLUE CROSS & BLU |
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