Individual
DR. MARK PETER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
33700 HWY 43, THOMASVILLE, AL 36784-3555
(334) 636-4431
(334) 636-6129
Mailing address
172 BRUSHY POINTE OVERLOOK, HOUSTON, AL 35572
(205) 269-7578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-322
AL
Other
Enumeration date
02/20/2007
Last updated
06/22/2011
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