Individual
HUGO ELIAS KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
943 SUNRISE BLVD, WATERLOO, IA 50701-4951
(319) 239-9741
Mailing address
943 SUNRISE BLVD, WATERLOO, IA 50701-4951
(319) 239-9741
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20776
IA
207RC0000X
Cardiovascular Disease Physician
M-2002
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141184
—
IA
01
—
19264
WELLMARK INS PLAN
IA
01
—
42141730713
JOHN DEERE HEALTH INS PLA
IA
Enumeration date
05/18/2006
Last updated
06/12/2017
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