# NORTH ALLEGHENY PAIN & WELLNESS CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922367895
- **Authorized official:** DR. GARY C. KOCH D.C. (OWNER)
- **Authorized official phone:** (724) 934-0001

## Contact information

- **Practice address:** 11959 PERRY HWY, WEXFORD, PA 15090-8602
- **Practice address phone:** (724) 934-0001
- **Practice address fax:** (724) 934-5599
- **Mailing address:** 11959 PERRY HWY, WEXFORD, PA 15090-8602
- **Mailing address phone:** (724) 934-0001
- **Mailing address fax:** (724) 934-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | DC004706L | PA | — |
| 208VP0000X | Pain Medicine Physician | DC004706L | PA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | DC004706L | PA | — |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 05/11/2012