# DR. DONNER DEWDNEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215964796
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 18515 | IA | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014316 | — | IA |
| 01 | — | 01431 | WELLMARK BLUE CROSS | IA |
| 01 | — | 14965 | MIDLANDS CHOICE | IA |
| 01 | — | 42105384450265A011 | TRIWEST | IA |