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NPI Code Detail

MEDICARE: MONIKA KOEHLER

MEDICARE:   MONIKA  KOEHLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA.0007628CO
2363AS0400XSurgical Physician Assistant11385AZ
3363A00000XPhysician Assistant

General Provider Information

NPI Number : 1437820891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIKA KOEHLER
Provider Business Mailing Address
First Line : 2910 N 3RD AVE # 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4434
Country : US
Telephone Number : 602-406-3181
Fax Number : 602-264-2417
Provider Business Practice Location Address
First Line : 19636 N 27TH AVE STE 203
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4022
Country : US
Telephone Number : 623-562-5050
Fax Number : 623-562-5051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 12/15/2025

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Directions to “ MONIKA KOEHLER ” Practice Location

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