Provider Demographics
NPI:1154748283
Name:KOENIG, BABETTE WITKIND (DO)
Entity type:Individual
Prefix:
First Name:BABETTE
Middle Name:WITKIND
Last Name:KOENIG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMPOWER EMERGENCY PHYSICIANS
Mailing Address - Street 2:7332 E BUTHERUS DR
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:855-268-6366
Mailing Address - Fax:
Practice Address - Street 1:EMPOWER EMERGENCY PHYSICIANS
Practice Address - Street 2:7332 EAST BUTHERUS DRIVE
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:855-268-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ007316207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine