| Doctor Name: | DR. JAMES MARKUS KOCH |
| NPI Number: | 1164625794 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 2009034466 |
| Business Practice Address: | 525 N. Keene Street Suite 301 Columbia, MO - 65201 |
| Business Phone Number: | 5734492141 |
| Business Fax Number: | 5738752328 |
| Mailing Address: | 525 N. Keene Street, Suite 301 COLUMBIA |
| State: | MO |
| Postal Code: | 65201 |
| Phone Number: | 5734492141 |
| Fax Number: | 5738752328 |
| NPI Enumeration Date: | 06/10/2007 |
| NPI Last Update Date: | 09/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 2009034466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |