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Individual

CHRISTINA L. KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D81303
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201706700
MD
01
S062-0632
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
03/27/2013
Last updated
11/30/2021
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