Individual
MIKAELA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3827 N LAFAYETTE ST, DENVER, CO 80205-3339
(303) 500-1518
Mailing address
2531 WHITE MOUNTAIN HWY STE A, SANBORNVILLE, NH 03872-4429
(603) 522-0186
(603) 522-3457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1410
NH
363A00000X
Physician Assistant
MA057649
PA
363A00000X
Physician Assistant
PA.0006670
CO
Other
Enumeration date
07/08/2015
Last updated
07/15/2021
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