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Individual
CODY A KOCH
Active
Individual
CODY A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
40814
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293193
L&I
WA
05
—
1316149925
—
WA
Enumeration date
06/05/2007
Last updated
11/30/2014
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