Individual
DR. DREW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
255 SW BROOKSIDE DR, STE 200, GRIMES, IA 50111-5244
(515) 500-6568
(515) 393-6171
Mailing address
255 SW BROOKSIDE DR STE 200, GRIMES, IA 50111-5244
(515) 500-6568
(515) 393-6171
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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