Individual provider · Type 1 NPI
David Koch, MD
Body Imaging Physician · Normal, IL
NPI number
1063451789
Active
Practice location
2200 Fort Jesse Rd, Suite 280
Normal, IL 61761-6286
Fax (309) 862-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1063451789
David Koch, MD's National Provider Identifier is 1063451789, issued on Jun 6, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Normal, IL. The record was last updated on Jul 13, 2026.