Brenton B Koch
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
4855 Mills Civic Pkwy # 100
West Des Moines
, Iowa 50265-5268
Brenton B Koch
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
4855 Mills Civic Pkwy # 100
West Des Moines
, Iowa 50265-5268
(515) 277-0060
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About
Features
Specialties
- Facial Plastic Surgeon
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Brenton B Koch
- 4855 Mills Civic Pkwy # 100
- West Des Moines, IA
- Zip : 50265-5268
- Fax : (515) 277-0060
- Phone : (515) 277-5555
Second Address
- Brenton B Koch
- 4855 Mills Civic Pkwy # 100
- West Des Moines, IA
- Zip : 50265-5268
- Fax : (515) 277-0060
- Phone : (515) 277-5555
Reviews
FAQs
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What type of doctor is Brenton B Koch
In what state does Brenton B Koch practice in?
Where is Brenton B Koch ’s practice located?
What is Brenton B Koch ’s gender?
Is Brenton B Koch a sole practitioner?
Is Brenton B Koch accepting new patients?
What languages does Brenton B Koch speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 31968 | IA |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 31968 | IA |
National Provider Identifier
| NPI | 1487651303 |
|---|---|
| Provider Name | Brenton B Koch |
| First Address | West Des Moines, IA 50265-5268 |
| Second Address | West Des Moines, IA 50265-5268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 11/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1162586 | (05) | IA |
| G62390 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.