Individual
DREW KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
246087
NY
207P00000X
Emergency Medicine Physician
Primary
OS006315L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02937915
—
NY
01
—
204489238
BLUE SHIELD
NY
01
—
777489238
BLUE SHIELD
NY
Enumeration date
08/17/2006
Last updated
02/26/2021
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