Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EZRA KOCH, MD
Active Sole ProprietorEZRA KOCH, MD is a General Practice healthcare provider located in MANDAN, North Dakota. NPI 1861016024 is currently active in the NPPES registry. Verify at CMS.
General Practice · MANDAN, ND
Registration Details
- NPI Number
- 1861016024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2020 (6.1733495517386 yrs)
- Last Updated
- Mar 1, 2023
- License
-
19404 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4108 39TH AVE NWMANDAN, ND, 585541253Browse ND providers · Browse ZIP 58554
- Phone
- 7014264291
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.