SearchMissouri235Z00000X

Polly Koch

NPI 1114171048 · on the registry since 2008

Practice

Address
324 Liberty Street
Delta, MO 63744
Phone
(573) 794-2500
Fax
(573) 794-2504

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri