Individual
SEAN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 FALLS BLVD N, WYNNE, AR 72396-4027
(870) 587-0800
Mailing address
924 AR-77, MARION, AR 72364
(870) 739-8670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-15515
AR
Other
Enumeration date
04/25/2018
Last updated
08/08/2023
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