Individual
DR. DAVID A. KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
858 E WELSH RD, SUITE 12, MAPLE GLEN, PA 19002-2942
(215) 542-0460
(215) 542-9058
Mailing address
858 E WELSH RD, SUITE 12, MAPLE GLEN, PA 19002-2942
(215) 542-0460
(215) 542-9058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000662
PA
Other
Enumeration date
12/20/2006
Last updated
12/06/2007
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