Individual
DR. DOUGLAS A KOCH
Active
Individual
DR. DOUGLAS A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23034
NE
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
23034
NE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
23034
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200347450A
MEDICAID
KS
01
—
247111
MIDLANDS CHOICE
NE
01
—
30014
BCBS OF NEBRASKA
NE
01
—
91177983268510A017
TRI CARE
NE
01
—
P00246735
RAILROAD MEDICARE
NE
Enumeration date
02/17/2006
Last updated
10/04/2013
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