Individual
PHOEBE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1905 W COLLEGE ST, BOZEMAN, MT 59718-4061
(406) 587-4432
(406) 587-7015
Mailing address
1905 W COLLEGE ST, BOZEMAN, MT 59718-4061
(406) 587-4432
(406) 587-7015
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49736
MT
207N00000X
Dermatology Physician
54162
MN
Other
Enumeration date
12/05/2007
Last updated
07/27/2020
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