Wan In L Koo, D.O. Valid NPI

Individual provider · Family Medicine Physician · O Fallon, MO

NPI

1871554865

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

2002009359 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2006-03-29

Last updated

2020-10-23