Organization
NORTH ALLEGHENY PAIN & WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY C. KOCH D.C. (OWNER)
(724) 934-0001
Entity
Organization
Contact information
Practice address
11959 PERRY HWY, WEXFORD, PA 15090-8602
(724) 934-0001
(724) 934-5599
Mailing address
11959 PERRY HWY, WEXFORD, PA 15090-8602
(724) 934-0001
(724) 934-5599
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
DC004706L
PA
208VP0000X
Pain Medicine Physician
Primary
DC004706L
PA
208VP0014X
Interventional Pain Medicine Physician
DC004706L
PA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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