Individual
BRODERICK MOORE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, DEPT. OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-2424
Mailing address
110 IRVING ST NW, DEPT. OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101285153
VA
Other
Enumeration date
03/28/2022
Last updated
07/07/2025
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