Individual
DR. HEIDI MARIE KOCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 BEAVER AVE, DES MOINES, IA 50310-3903
(515) 255-3181
(515) 255-9392
Mailing address
2301 BEAVER AVE, DES MOINES, IA 50310-3903
(515) 255-3181
(515) 255-9392
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191155
—
IA
01
—
26258
BCBS-EAST
IA
01
—
47499
BCBS-WEST
IA
Enumeration date
01/30/2006
Last updated
07/08/2007
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