EZRA KOCH, MD
General Practice
Active
Individual
NPI: 1861016024
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 19404 (ND) |
Frequently Asked Questions
NPI 1861016024 is the National Provider Identifier for EZRA KOCH, MD, a General Practice provider located in Mandan, ND. This NPI was enumerated on June 3, 2020.
EZRA KOCH, MD practices at 4108 39TH AVE NW, Mandan, ND 58554.
Quick Facts
- NPI
- 1861016024
- Type
- Individual
- Enumerated
- Jun 3, 2020
- Last Updated
- Mar 1, 2023
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