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John M Koller, MD
Family Medicine Physician in Kodiak, Alaska
NPI 1588721195

John M Koller is a Family Medicine Physician based in Kodiak, AK. John M Koller practices in Kodiak, AK and has the professional credentials of MD. The NPI Number for John M Koller is 1588721195 and holds a License No. 3737 (Alaska).

The current practice location address for John M Koller is 202 Center Ave., Kodiak, AK and can be reached out via phone at 907-486-6188 and via fax at 907-486-6146.

Location: 202 Center Ave., Kodiak, AK, 99615-1126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588721195
Provider Name
John M Koller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
202 Center Ave., Kodiak, AK, 99615-1126
Phone Number
907-486-6188
Fax Number
907-486-6146
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K151630 01 MEDICARE ID ( DEACTIVATED AFTER 5.16.09)
MD10072 05 AK
K162501 01 MEDICARE ID 6.29.09 - PRESENT
institution
Provider Business Practice Location Address Details
Address
202 Center Ave.
City
Kodiak
State
Alaska
Zip
99615-1126
Phone Number
907-486-6188
Fax Number
907-486-6146
person
Provider Business Mailing Address Details
Address
202 Center Ave.
City
Kodiak
State
Alaska
Zip
99615-1126
Phone Number
907-486-6188
Fax Number
907-486-6146
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
3737 (Alaska)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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