Female

Phoebe Koch M.D.

Dermatology Physician in Bozeman, MT(View on Map)

Full Name

Phoebe Koch M.D.

NPI Number

1194907741

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/05/2007

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota
Montana

License Number

54162
49736

Contact
Information

Purpose

Mailing
Location

Address

1905 W COLLEGE ST
1905 W COLLEGE ST

City

Bozeman
Bozeman

State

MT
MT

Postal Code

59718-4061
59718-4061

Country

US
US

Telephone Number

(406) 587-4432
(406) 587-4432

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

pkoch@directaddress.net

Endpoint Description

Unknown

Use

Health Information Exchange (HIE)

Content Type

Unknown

Affiliation

N

Endpoint Location

1905 W College StBozeman, MT597184061US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/27/2020

Provider Address

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