David Koch is a Diagnostic Radiology in Normal, Illinois. David Koch practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David Koch is 1063451789. The last update date is 2007-07-08.
David Koch's current location address is 2200 Fort Jesse Rd, Normal, Illinois. You can contact this provider via phone number 3094521788 and fax number 3098621302. The mailing address for David Koch is 2200 Fort Jesse Rd, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Koch |
|---|---|
| Address | 2200 Fort Jesse Rd, Normal, Illinois |
| Phone Number | 3094521788 |
| Fax Number | 3098621302 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063451789 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2200 Fort Jesse Rd |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617616286 |
| Phone Number | 3094521788 |
| Fax Number | 3098621302 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036069421*1 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Koch by the Centers for Medicare & Medicaid Services?
The David Koch has been issued the NPI (National Provider Identifier) 1063451789 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David Koch is geographically located?
The David Koch is physically situated at the following location: 2200 Fort Jesse Rd, Normal, IL, 617616286.
What is the David Koch's specialty and taxonomy code?
The David Koch's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
When did the David Koch receive its 1063451789?
The David Koch was issued its 1063451789 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to David Koch last refreshed?
The information related to the David Koch, including its address, specialty, and other relevant details, was last updated on 2007-07-08.