Individual
DR. NICHOLAS JAMES KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 ANDERSON DR, ABERDEEN, WA 98520-1006
(360) 532-8330
Mailing address
2708 FOOTHILL BLVD # 1014, LA CRESCENTA, CA 91214-3516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15714A
WY
207P00000X
Emergency Medicine Physician
21697
ND
207P00000X
Emergency Medicine Physician
27283
NV
207P00000X
Emergency Medicine Physician
C179538
CA
207P00000X
Emergency Medicine Physician
Primary
C4550
KY
207P00000X
Emergency Medicine Physician
MED-PHYS-COM-LIC-158
MT
207P00000X
Emergency Medicine Physician
TD61442314
WA
Other
Enumeration date
04/08/2014
Last updated
11/21/2025
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