Individual
JOHANNES KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-2319
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00039369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271929
DEPT OF LABOR AND INDUSTRY
WA
01
—
1396716148
MONTANA MEDICAID
WA
01
—
P00958035
RAILROAD MEDICARE
WA
Enumeration date
01/30/2006
Last updated
02/22/2013
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