Robert Koch
Internal Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1801282967
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1801282967
- Entity type
- Individual (NPI-1)
- Name
- Robert Koch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2015
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 56330 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1111 E McDowell RdPhoenix, AZ 85006-2612
Phone 602-839-3644
Mailing address
1625 N Campbell AveTucson, AZ 85719-4330
Phone 520-626-5797
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