Individual
H. BRUCE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 W MICHIGAN, WILSON MEMORIAL HOSPITAL EMERGENCY DEPT., SIDNEY, OH 45365-2491
(937) 498-5300
(937) 498-4201
Mailing address
1984 WOODBINE CT, TROY, OH 45373-9277
(937) 335-2122
(937) 498-4201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35058963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775899
—
OH
Enumeration date
07/12/2006
Last updated
07/08/2007
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