Individual
MR. PAUL HENRY KOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
918 W PLATT ST # 1, MAQUOKETA, IA 52060-2038
(563) 652-5145
(563) 652-3674
Mailing address
918 W PLATT ST # 1, MAQUOKETA, IA 52060-2038
(563) 652-5145
(563) 652-3674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01595
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127340
—
IA
05
—
1127340
—
IA
01
—
12734
WELLMARK BLUE CROSS
IA
01
—
4210571962005
JOHN DEERE HEALTHCARE
IA
Enumeration date
01/19/2006
Last updated
03/07/2023
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