MARANDA NAOMI KOCH
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1598571200- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 497 W LOTT ST, BUFFALO, WY, 828341658
- Phone
- (307) 684-5521
Specialties & Taxonomies
Physician Assistant
Primary License: WY #PT1430