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Individual
DR. DREW DAVIDSON
Active
Individual
DR. DREW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
086108
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086108
STATE LICENSE
IA
05
—
2207464
—
IA
Enumeration date
05/29/2014
Last updated
02/25/2021
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