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Individual

BRANDON KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
1660 S ALBION ST, SUITE 425, DENVER, CO 80222-4008
(720) 214-2549
Mailing address
601 E GRUNDY ST, APT H, TULLAHOMA, TN 37388-3743

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2050

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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