Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35268 | IA |
N | 111NI0900X | Internist | 35268 | IA |
Y | 207RA0201X | Internist - Allergy & Immunology | 35268 | IA |
NPI | 1235204496 |
---|---|
Provider Name | Amy Melinda Yoder Dowden |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 15/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0762914 | (05) | IA |
29543 | WELLMARK BCBS (01) | IA |
H89322 | (02) |