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Individual

DR. DONNER DEWDNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
939 OFFICE PARK RD, STE 200, WEST DES MOINES, IA 50265-2538
(515) 288-5570
(515) 440-3388
Mailing address
939 OFFICE PARK RD, STE 200, WEST DES MOINES, IA 50265-2505
(515) 288-5570
(515) 440-3388

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
18515
IA

Other

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
Enumeration date
06/28/2006
Last updated
07/08/2007
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