Individual
ALEXANDRA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3604 SHANNON RD STE 200, DURHAM, NC 27707-6343
(919) 403-2122
Mailing address
3604 SHANNON RD STE 200, DURHAM, NC 27707-6343
(919) 946-8124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08780
NC
Other
Enumeration date
01/22/2019
Last updated
05/22/2019
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