Individual
RICHARD A KOCH
Active
Individual
RICHARD A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036070767
IL
2085R0202X
Diagnostic Radiology Physician
Primary
R9D82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070767
—
IL
05
—
202115408
—
MO
01
—
300102469
RAILROAD MEDICARE
MO
01
—
300102478
RAILROAD MEDICARE
MO
Enumeration date
07/21/2006
Last updated
10/18/2011
Update your record
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