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Individual

DR. STEVEN D KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1190 5TH ST, WENATCHEE, WA 98801-1825
(509) 662-9671
(509) 662-9672
Mailing address
1190 5TH ST, WENATCHEE, WA 98801-1825
(509) 662-9671
(509) 662-9672

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1494
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002236
WA
Enumeration date
06/30/2006
Last updated
06/18/2008
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