Jack A Koch, DPM
NPI #1447275748 in San Dimas, California
Provider Information
- NPI Number
- 1447275748
- Entity Type
- Individual
- Name
- Jack A Koch, DPM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Podiatrist
- Credential
- DPM
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Sep 26, 2017
Practice Location
- Address
- 425 W BONITA AVE STE 110
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-2543
- Phone
- (714) 990-9153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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