Individual
WILLIAM EUGENE DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 UNIVERSITY AVE, SUITE 300, WEST DES MOINES, IA 50266-5945
(515) 401-1950
(515) 401-1955
Mailing address
4200 UNIVERSITY AVE, SUITE 300, WEST DES MOINES, IA 50266-5945
(515) 401-1950
(515) 401-1955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31229
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141622
—
IA
01
—
050045048
RAILROAD MEDICARE NUMBER
IA
01
—
06009
TRICARE PROVIDER #
IA
01
—
54810
BLUE SHIELD PROVIDER #
IA
01
—
5677
MIDLANDS PROVIDER #
IA
01
—
IA0168
JOHN DEERE PROVIDER #
IA
Enumeration date
12/16/2005
Last updated
04/14/2020
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