Individual
BRANDI KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9825 N 95TH ST STE 101, SCOTTSDALE, AZ 85258-4590
(480) 941-4247
Mailing address
3716 W DENALI DR, ANTHEM, AZ 85086-8026
(214) 250-1432
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
895934
AZ
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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