Individual
GARY A. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00016863
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00016863
WA
Other
Enumeration date
06/21/2006
Last updated
04/26/2021
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