Individual
DR. CHRISTOPHER JONATHAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7717 W DEER VALLEY RD, SUITE 135, PEORIA, AZ 85382-2102
(623) 512-4040
(623) 512-4040
Mailing address
7717 W DEER VALLEY RD, SUITE 135, PEORIA, AZ 85382-2102
(623) 512-4040
(623) 512-4040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-22036
STATE COMPENSATION FUND
AZ
01
—
AZ0243770
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/28/2007
Last updated
09/20/2012
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