Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | DO-05256 | IA |
N | 207P00000X | Emergency Physician | R-10573 | IA |
N | 207PE0004X | Emergency Medical Services | R-10573 | IA |
N | 207PP0204X | Pediatric Emergency Physician | R-10573 | IA |
NPI | 1235588708 |
---|---|
Provider Name | Dr. Alysa S Davis |
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 | 06/06/2016 |
Last Update Date | 07/07/2020 |