Individual
DR. JAMES KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N SMITH RD, BLOOMINGTON, IN 47408-3150
(812) 339-6115
Mailing address
115 N SMITH RD, BLOOMINGTON, IN 47408
(812) 339-6115
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
24004786
IN
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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