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Individual

CAMERON MANSFIELD KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5950 UNIVERSITY AVE STE 145, WEST DES MOINES, IA 50266-8233
(515) 875-9740
(515) 875-9672
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R10888
IA
2085R0202X
Diagnostic Radiology Physician
2018012279
MO
2085R0202X
Diagnostic Radiology Physician
73227
MN
2085R0202X
Diagnostic Radiology Physician
Primary
MD-50087
IA

Other

Enumeration date
06/07/2017
Last updated
04/25/2025
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