Brenton B Koch in West Des Moines - Otolaryngology/facial Plastic Surgery
Brenton B Koch - NPI 1487651303
Brenton B Koch is a Otolaryngology/facial Plastic Surgery in West Des Moines, Iowa. Brenton B Koch practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Brenton B Koch is 1487651303. The last update date is 2014-03-11.
Brenton B Koch's current location address is 4855 Mills Civic Pkwy # 100, West Des Moines, Iowa. You can contact this provider via phone number 5152775555 and fax number 5152770060. The mailing address for Brenton B Koch is 4855 Mills Civic Pkwy # 100, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenton B Koch |
|---|---|
| Address | 4855 Mills Civic Pkwy # 100, West Des Moines, Iowa |
| Phone Number | 5152775555 |
| Fax Number | 5152770060 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487651303 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2014-03-11 |
Provider Mailing Address Detail
| Address | 4855 Mills Civic Pkwy # 100 |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502655268 |
| Phone Number | 5152775555 |
| Fax Number | 5152770060 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 31968 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1162586 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brenton B Koch by the Centers for Medicare & Medicaid Services?
The Brenton B Koch has been assigned the NPI (National Provider Identifier) 1487651303. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brenton B Koch's facilities are geographically located?
The facilities of Brenton B Koch are physically situated at the following location: 4855 Mills Civic Pkwy # 100, West Des Moines, IA, 502655268.
What is Brenton B Koch's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brenton B Koch is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Yx0905X.
When was the Brenton B Koch's 1487651303 issued?
The Brenton B Koch's 1487651303 was issued on 2005-07-07.
When was the information regarding Brenton B Koch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brenton B Koch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-03-11.