Provider Demographics
NPI:1356373765
Name:KOIL, CHRISTINE (MS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:KOIL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6504 ANASAZI DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7115
Mailing Address - Country:US
Mailing Address - Phone:505-296-7621
Mailing Address - Fax:505-883-5322
Practice Address - Street 1:101 HOSPITAL LOOP NE
Practice Address - Street 2:SUITE 106
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2129
Practice Address - Country:US
Practice Address - Phone:505-883-5657
Practice Address - Fax:505-883-5322
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS