Organization
BRADLEY G GRUVER & KENNETH L KOCH PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LYLE KOCH OD (PARTNER)
(509) 487-5456
Entity
Organization
Contact information
Practice address
124 E ROWAN AVE, SUITE 101, SPOKANE, WA 99207-1214
(509) 487-5456
(509) 484-0082
Mailing address
124 E ROWAN AVE, SUITE 101, SPOKANE, WA 99207-1214
(509) 487-5456
(509) 484-0082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
12/03/2010
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