Provider Demographics
NPI:1356345086
Name:KONINGS, JOHN F (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:KONINGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12550 W THUNDERBIRD RD
Mailing Address - Street 2:STE 102
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-4966
Mailing Address - Country:US
Mailing Address - Phone:623-556-8860
Mailing Address - Fax:623-876-9559
Practice Address - Street 1:306 E MONROE AVE
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-2706
Practice Address - Country:US
Practice Address - Phone:623-836-4814
Practice Address - Fax:623-386-4593
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-10
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
AZ23685207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA73144Medicare UPIN