Individual
IAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
61638
MN
2085R0202X
Diagnostic Radiology Physician
Primary
DO-05119
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
12/29/2023
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