Individual provider · Type 1 NPI

Tegan Koski, MD

General Practice Physician · Apo, AA

NPI number 1780323907 Active

Practice location

5502 Marvin Shields Blvd, Bldg 472
Apo, AA 39503

Call (228) 822-5409 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XMD91062 (SC)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1780323907

Tegan Koski, MD's National Provider Identifier is 1780323907, issued on Jun 4, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Apo, AA. The record was last updated on Jul 28, 2026.