Individual
DR. GEORGE ANTHONY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2287
(573) 302-2241
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2002021772
MO
208M00000X
Hospitalist Physician
Primary
2002021772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245978408
—
MO
01
—
P00171341
RAILROAD MEDICARE
MO
Enumeration date
07/20/2005
Last updated
05/01/2008
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