Individual
DR. ERICA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
43 S MAIN ST, RANDOLPH, VT 05060-1363
(802) 728-9600
(888) 283-8349
Mailing address
43 S MAIN ST, RANDOLPH, VT 05060-1363
(802) 728-9600
(888) 283-8349
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099-0071770
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12214003
MVP HEALTH CARE
VT
Enumeration date
03/23/2011
Last updated
03/23/2011
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