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Brenton B Koch, MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in West Des Moines, Iowa
NPI 1487651303

Brenton B Koch is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician based in West Des Moines, IA and is specialized in Plastic Surgery Within the Head and Neck. Brenton B Koch practices in West Des Moines, IA and has the professional credentials of MD. The NPI Number for Brenton B Koch is 1487651303 and holds a License No. 31968 (Iowa).

The current practice location address for Brenton B Koch is 4855 Mills Civic Pkwy # 100, West Des Moines, IA and can be reached out via phone at 515-277-5555 and via fax at 515-277-0060. You can also correspond with Brenton B Koch through the mailing address at 4855 MILLS CIVIC PKWY # 100, WEST DES MOINES, IA - 50265-5268 (mailing address contact number: 515-277-5555).

Location: 4855 Mills Civic Pkwy # 100, West Des Moines, IA, 50265-5268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487651303
Provider Name
Brenton B Koch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4855 Mills Civic Pkwy # 100, West Des Moines, IA, 50265-5268
Phone Number
515-277-5555
Fax Number
515-277-0060
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1162586 05 IA
institution
Provider Business Practice Location Address Details
Address
4855 Mills Civic Pkwy # 100
City
West Des Moines
State
Iowa
Zip
50265-5268
Phone Number
515-277-5555
Fax Number
515-277-0060
person
Provider Business Mailing Address Details
Address
4855 Mills Civic Pkwy # 100
City
West Des Moines
State
Iowa
Zip
50265-5268
Phone Number
515-277-5555
Fax Number
515-277-0060
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
31968 (Iowa)
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
31968 (Iowa)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
31968 (Iowa)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
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