Organization · Type 2 NPI

Stephanie L Koonce MD

Plastic and Reconstructive Surgery Physician · Rogers, AR

NPI number 1457071060 Active

Practice location

3301 S Market St Ste 205
Rogers, AR 72758-7700

Call (479) 276-6888 Map

Fax (479) 309-4222

Mailing address

8401 Mile Tree Dr
Fort Smith, AR 72903-4320

Other practice locations

7901 Dallas St, Fort Smith, AR 72903-4281 · (479) 276-6888

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician	208200000X	None listed
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	2082S0099X	None listed
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

2 other providers at this address

NPI record

NPI: 1457071060
Entity type: Organization (Type 2)
Issued: Sep 1, 2022
Last updated: Oct 10, 2023
Status: Active

Other names

<unavail>
Ecosse Plastic Surgery · doing business as
Ecosse Plastic Surgery · doing business as

Authorized official

Dr. Stephanie Leighann Koonce, MD
Manager/owner
(479) 719-0862

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457071060

Stephanie L Koonce MD's National Provider Identifier is 1457071060, issued on Sep 1, 2022. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Rogers, AR. The record was last updated on Oct 10, 2023.