Individual
RODGERS KOECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
(505) 724-6125
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5380849052
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
67740
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08009333
—
NM
Enumeration date
02/09/2022
Last updated
02/09/2025
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