DR. Paul Erwin Koch, O.D.

NPI #1124060041 in Ponderay, Idaho

Provider Information

NPI Number: 1124060041
Entity Type: Individual
Name: DR. Paul Erwin Koch, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 12, 2006
Last Updated: Apr 14, 2009

Practice Location

Address: 476999 HIGHWAY 95
City: Ponderay
State: Idaho
ZIP Code: 83852-9738
Phone: (208) 255-5513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Dr. Paul E. Koch, Optometrist, P.c	Optometrist	Ponderay	AI Deep Dive

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