Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 33545 | IA |
Y | 207VX0201X | Gynecologic Oncologist | 33545 | IA |
NPI | 1487641247 |
---|---|
Provider Name | David P Bender |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 28/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0213413 | (05) | IA |
19728 | WELLMARK BCBS (01) | IA |
H03196 | (02) |