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Contact Information

DREW DAVIDSON, DPM
255 SW BROOKSIDE DR
STE 200
GRIMES, IA50111-5244
 Phone: 515-500-6568
 Fax: 515-393-6171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DREW DAVIDSON · (Male)

NPI Number 1760894323
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/29/2014
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 086108
  • IA Medicaid 2207464
  • IA Other 086108 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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