Individual
DR. DANIEL GREGORY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1531 N ASPEN ST, LINCOLNTON, NC 28092-7268
(704) 732-8736
(704) 732-8121
Mailing address
1531 N ASPEN ST, LINCOLNTON, NC 28092-7268
(704) 732-8736
(704) 732-8121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200401245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138N8
BLUE CROSS BLUE SHIELD
NC
05
—
89138N8
—
NC
Enumeration date
08/18/2005
Last updated
06/07/2011
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