# KOCH FACIAL PLASTIC SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316389653
- **Authorized official:** BRENT KOCH MD (OWNER/MD)
- **Authorized official phone:** (515) 277-5555

## Contact information

- **Practice address:** 4855 MILLS CIVIC PARKWAY \#100, WEST DES MOINES, IA 50265
- **Practice address phone:** (515) 277-5555
- **Practice address fax:** (515) 277-0060
- **Mailing address:** 4855 MILLS CIVIC PARKWAY \#100, WEST DES MOINES, IA 50265
- **Mailing address phone:** (515) 277-5555
- **Mailing address fax:** (515) 277-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | IA | Yes |

## Other

- **Enumeration date:** 07/29/2013
- **Last updated:** 01/12/2017