Provider Demographics
NPI:1407293236
Name:KOCH, AUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:KOCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DRIVE, 1008 RCP
Mailing Address - Street 2:UIHC - EMERGENCY MEDICINE
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-384-6511
Mailing Address - Fax:319-356-1138
Practice Address - Street 1:200 HAWKINS DRIVE, 1008 RCP
Practice Address - Street 2:UIHC - EMERGENCY MEDICINE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-384-6511
Practice Address - Fax:319-356-1138
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2015-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-42490207P00000X
IAR - 9740207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine