Individual
DR. HENRY J KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
(251) 633-0793
(251) 633-0736
Mailing address
6701 AIRPORT BLVD STE B321, MOBILE, AL 36608-6703
(251) 633-0793
(251) 633-0736
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00006665
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012697
—
AL
01
—
510-11592
BCBS-AL NUMBER
AL
Enumeration date
09/28/2006
Last updated
09/16/2011
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