Individual
SANDRA JEAN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233 VALLEYVIEW DR, LAWTON, OK 73507-8136
(580) 529-2355
Mailing address
233 VALLEYVIEW DR, LAWTON, OK 73507-8136
(580) 529-2355
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G3528
TX
Other
Enumeration date
06/30/2006
Last updated
07/10/2008
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