Individual
MR. DAVID RUSSELL KOCHERHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1727 ELIZABETH AVE, BREMERTON, WA 98337-1734
(801) 735-7718
Mailing address
1727 ELIZABETH AVE, BREMERTON, WA 98337-1734
(801) 735-7718
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2022
Last updated
08/17/2023
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