Doug Koller, HIS

NPI 1568896066 · on the registry since 2013 · sole proprietor

Practice

Address: 80 Trinity Point Dr
Washington, PA 15301
Phone: (724) 206-4186
Fax: (724) 206-4186
Organisation at this address: Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania