person
Russell David Koesters, PA
Surgical Physician Assistant in Johnson City, Tennessee
NPI 1871161323

Russell David Koesters is a Surgical Physician Assistant based in Johnson City, TN and is specialized in Surgical. Russell David Koesters practices in Johnson City, TN and has the professional credentials of PA. The NPI Number for Russell David Koesters is 1871161323 and holds a License No. 4616 (Tennessee).

The current practice location address for Russell David Koesters is 2410 Susannah St, Johnson City, TN and can be reached out via phone at 423-282-9011 and via fax at 423-282-0035.

Location: 2410 Susannah St, Johnson City, TN, 37601-1748
person
Provider Profile Details
NPI Number
1871161323
Provider Name
Russell David Koesters
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2410 Susannah St, Johnson City, TN, 37601-1748
Phone Number
423-282-9011
Fax Number
423-282-0035
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2410 Susannah St
City
State
Zip
37601-1748
Phone Number
423-282-9011
Fax Number
423-282-0035
person
Provider Business Mailing Address Details
Address
2410 Susannah St
City
State
Zip
37601-1748
Phone Number
423-282-9011
Fax Number
423-282-0035
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4616 (Tennessee)
Definition
Definition to come...
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