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Paul Koch, O.D
NPI 1124060041 · on the registry since 2006
Practice
- Address
- 476999 Highway 95
Ponderay, ID 83852 - Phone
- (208) 255-5513
- Fax
- (208) 255-5823
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, Inc
Dr. Paul E. Koch, Optometrist, P.CInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-04-14
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 Idaho