NPI 1013177211

Jamie C Koch, MD

Practitioner Anesthesiology Physician Ada, OK

Practice location

Address: 430 N Monte Vista St Ok, Ada, OK 74820-4610
Phone: (580) 421-1160
Fax: (580) 332-5750
Mailing address: PO Box 1386a, Ada, OK 74821-4913

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 26420 (OK)

Other Anesthesiology providers in Oklahoma →

Registry record

NPI: 1013177211
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2008
Record last updated: 14 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.