Individual
BETH NOELLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 6TH AVENUE, 3 MAIN, DES MOINES, IA 50314-2610
(515) 246-9320
(515) 643-8966
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 246-9320
(515) 643-8966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-42383
IA
208000000X
Pediatrics Physician
R-9526
IA
208M00000X
Hospitalist Physician
Primary
MD-42383
IA
Other
Enumeration date
06/27/2012
Last updated
10/29/2019
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