Individual
BRIAN MICHAEL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE S750, MARRERO, LA 70072-3151
(504) 340-6976
(504) 349-6786
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S750, MARRERO, LA 70072-3151
(504) 340-6976
(504) 349-6786
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD.205878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238295
—
LA
Enumeration date
03/14/2008
Last updated
03/22/2017
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