Amanda Renee Koch PA-C

NPI 1407189210 - Physician Assistant - 363A00000X

NPI Details
NPI 1407189210
Gender Female
Enumeration Date 09/10/2009
Last Updated 10/26/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1416 PENN AVE
WYOMISSING PA, 19610-2134, US
Phone (610) 376-3936
Fax (610) 372-0215
Business Location
1416 PENN AVE
WYOMISSING PA, 19610-2134, US
Phone (610) 376-3936
Fax (610) 372-0215
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mrs. Amanda Renee Koch PA-C NPI is 1407189210, taxonomy code is 363A00000X Amanda Renee Koch PA-C physically located at 1416 Penn Ave, Wyomissing PA, 19610-2134. NPI Number Amanda Renee Koch PA-C has the Individual type.

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1407189210 NPI number is provided on an as is basis without warranty of any kind. 1407189210 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Renee Koch PA-C are for informational purposes only.