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Organization

DR. RYAN KOCH, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN PATRICK KOCH D.C. (CHIROPRACTOR)
(701) 751-1161
Entity
Organization

Contact information

Practice address
2600 GATEWAY AVE, SUITE 2, BISMARCK, ND 58503-0568
(701) 751-1161
Mailing address
2600 GATEWAY AVE, SUITE 2, BISMARCK, ND 58503-0568
(701) 751-1161

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
785
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07066-001
BCBS ND GROUP/CLINIC #
ND
01
30415
BCBS ND PROVIDER #
ND
Enumeration date
12/19/2007
Last updated
02/29/2008
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