NPI 1780323907

Tegan Koski, MD

Practitioner General Practice Physician Apo, AA

Practice location

Address: 5502 Marvin Shields Blvd Bldg 472, Apo, AA 39503
Phone: (228) 822-5409
Mailing address: 5502 Marvin Shields Blvd Bldg 472, Gulfport, MS 39503

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD91062 (SC)

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Registry record

NPI: 1780323907
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2022
Record last updated: 28 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.