Individual provider · Type 1 NPI

Danielle Koch

Surgical Physician Assistant · Burlington, NC

NPI number 1114434255 Active

Practice location

1248 Huffman Mill Rd Ste 101
Burlington, NC 27215-8700

Fax (336) 890-3391

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.1500 (AL)
Physician Assistant 363A00000X001017795 (NC)
Surgical Physician Assistant Primary 363AS0400X0010-07795 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1114434255

Danielle Koch's National Provider Identifier is 1114434255, issued on Jan 9, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Burlington, NC. The record was last updated on Oct 9, 2024.