Koch Chiropractic Clinic LLC

NPI #1407264419 in Imperial, Nebraska

Provider Information

NPI Number
1407264419
Entity Type
Organization
Organization Name
Koch Chiropractic Clinic LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jul 23, 2014
Last Updated
Jul 23, 2014

Practice Location

Address
441 BROADWAY
ZIP Code
69033-3162
Phone
(308) 882-5532

Authorized Official

Name
DR. DANIEL KOCH, B.S., D.C.
Title
ORGANIZER AND AUTHORIZED REP.
Phone
(308) 882-5532

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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