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NPI Code Detail

MEDICARE: MICHAEL JOSEPH KOCH DC

MEDICARE:   MICHAEL JOSEPH KOCH  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038-003936IL

General Provider Information

NPI Number : 1821920786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOSEPH KOCH DC
Provider Business Mailing Address
First Line : 5440 DESERT SPRING RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-6619
Country : US
Telephone Number : 702-748-6802
Fax Number :
Provider Business Practice Location Address
First Line : 5440 DESERT SPRING RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-6619
Country : US
Telephone Number : 702-884-2686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ MICHAEL JOSEPH KOCH DC” Practice Location

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