Individual
GARY C KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11959 PERRY HWY, WEXFORD, PA 15090-8602
(724) 934-0001
(724) 934-5599
Mailing address
11959 PERRY HWY, WEXFORD, PA 15090-8602
(724) 934-0001
(724) 934-5599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004706L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1592870
HIGHMARK BC
PA
Enumeration date
12/27/2006
Last updated
07/08/2007
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