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General NPI Number Information
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NPI Number | 1043716426
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Entity Type | Individual
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Provider Name | SARAH ANN-LOUISE KOCH MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 601 W SPRUCE ST STE J
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City | MISSOULA
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State | MT
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Zip | 59802-4047
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Country | US
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Telephone | 406-327-3350
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Fax | 406-327-3355
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4110
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City | PASADENA
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State | CA
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Zip | 91110-4110
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Country | US
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Telephone | 406-327-3350
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Fax | 406-327-3355
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ML60865844.
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MED-PHYS-LIC-145219
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License Number State | MT
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