NPI 1760894323 · live from the CMS NPI Registry
Drew Davidson, DPM
Podiatrist in Grimes, IA. National Provider Identifier 1760894323, active.
NPI record
| NPI | 1760894323 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111 |
| Practice phone | 515-500-6568 |
| Mailing address | 255 Sw Brookside Dr Ste 200, Grimes, IA 50111 |
| Enumerated | May 29, 2014 |
| Last updated | February 25, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 086108 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.