Individual provider · Type 1 NPI
Brenton B. Koch, MD
Facial Plastic Surgery Physician · West Des Moines, IA
NPI number
1487651303
Active
Practice location
4855 Mills Civic Pkwy # 100
West Des Moines, IA 50265-5268
Fax (515) 277-0060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 31968 (IA) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 31968 (IA) |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 31968 (IA) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1487651303
Brenton B. Koch, MD's National Provider Identifier is 1487651303, issued on Jul 7, 2005. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in West Des Moines, IA. The record was last updated on Mar 11, 2014.