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Individual
DR. GEORGE ANTHONY KOCH
Active
Individual
DR. GEORGE ANTHONY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2002021772
MO
208M00000X
Hospitalist Physician
Primary
2002021772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245978408
—
MO
01
—
P00171341
RAILROAD MEDICARE
MO
Enumeration date
07/20/2005
Last updated
05/01/2008
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