Scott M. Koch DO
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Scott Michael Koch DO
NPI Number
1144229469
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/19/2005
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
4048
Contact
Information
Purpose
Mailing
Location
Address
6600 S YALE AVE STE 1200
6600 S YALE AVE STE 700
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74136-3361
74136-3360
Country
US
US
Telephone Number
(918) 488-6687
(918) 502-7300
Identifiers
Identifier
200011730A
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/22/2018
Provider Address
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