NPI 1477621761

Bovenmyer Dermatology PC

Organisation Dermatology Physician Davenport, IA

Practice location

Address: 3319 Spring St Suite 102, Davenport, IA 52807-2125
Phone: (563) 359-1671
Fax: (563) 359-7813

Authorised official

Name: John Allen Bovenmyer
Title: President
Phone: (563) 359-1671

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Iowa →

Registry record

NPI: 1477621761
Entity type: Organization
NPI issued: 3 Dec 2006
Record last updated: 1 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.