Organization
KOCH FACIAL PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT KOCH MD (OWNER/MD)
(515) 277-5555
Entity
Organization
Contact information
Practice address
4855 MILLS CIVIC PARKWAY #100, WEST DES MOINES, IA 50265
(515) 277-5555
(515) 277-0060
Mailing address
4855 MILLS CIVIC PARKWAY #100, WEST DES MOINES, IA 50265
(515) 277-5555
(515) 277-0060
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IA
Other
Enumeration date
07/29/2013
Last updated
01/12/2017
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