Individual
DAVID E KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8022
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
065410-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105792
—
NH
Enumeration date
08/30/2016
Last updated
11/14/2016
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