Individual
DR. DIANE REGINA MILLER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7717 W DEER VALLEY RD, SUITE 135, PEORIA, AZ 85382-2102
(623) 512-4040
(623) 512-4043
Mailing address
7717 W DEER VALLEY RD, SUITE 135, PEORIA, AZ 85382-2102
(623) 512-4040
(623) 512-4043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5453
AZ
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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