Dr Drew Davidson, DPM | |
255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | |
(515) 500-6568 | |
(515) 393-6171 |
Full Name | Dr Drew Davidson |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 255 Sw Brookside Dr, Grimes, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760894323 | NPI | - | NPPES |
2207464 | Medicaid | IA | |
086108 | Other | IA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 086108 (Iowa) | Primary |
Provider Name | Premier Foot & Ankle Surgeons Of Iowa Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205483765 PECOS PAC ID: 4183055379 Enrollment ID: O20200501002041 |
Mailing Address | Practice Location Address |
---|---|
Dr Drew Davidson, DPM 255 Sw Brookside Dr Ste 200, Grimes, IA 50111-5244 Ph: (515) 500-6568 | Dr Drew Davidson, DPM 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 Ph: (515) 500-6568 |
Premier Foot & Ankle Surgeons Of Iowa Podiatrist Medicare: Medicare Enrolled Practice Location: 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111 Phone: 515-500-6568 Fax: 515-393-6171 | |
Bunion Surgery Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 255 Sw Brookside Dr Ste 200, Grimes, IA 50111 Phone: 515-500-6568 Fax: 833-598-2060 |