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Individual

AMEE J KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2 EMBARCADERO CTR LBBY, SAN FRANCISCO, CA 94111-3823
(888) 663-6331
(415) 252-7176
Mailing address
707 N IOWA ST, GUNNISON, CO 81230-2229
(970) 641-1456

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA10004376
WA
363A00000X
Physician Assistant
52312
CA
363A00000X
Physician Assistant
Primary
PA.0006681
CO
363A00000X
Physician Assistant
PA01352
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500606249
OR
Enumeration date
07/12/2006
Last updated
03/17/2025
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