Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | DO-04569 | IA |
N | 208000000X | Pediatrician | DO-04569 | IA |
Y | 2080P0201X | Pediatric Allergist | DO-04569 | IA |
NPI | 1730318205 |
---|---|
Provider Name | Diana Kay Bayer-Bowstead |
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 | 06/07/2009 |
Last Update Date | 28/02/2019 |