Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME107004 | FL |
N | 207R00000X | Internist | 36121438 | IL |
N | 111NI0900X | Internist | 36121438 | IL |
N | 207R00000X | Internist | 4301087873 | MI |
N | 111NI0900X | Internist | 4301087873 | MI |
NPI | 1609994458 |
---|---|
Provider Name | Dr. Alan Paul Koterba |
First Address | North Palm Beach, FL 33408-3835 |
Second Address | North Palm Beach, FL 33408-3835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 27/09/2010 |