NPI 1134384902

Benjamin Harrison Davidson, MD

Practitioner Pediatrics Physician Waterloo, IA

Practice location

Address: 2710 Saint Francis Dr. Suite 510, Waterloo, IA 50702
Phone: (319) 272-5000
Fax: (319) 272-5445
Mailing address: 2710 Saint Francis Dr. Suite 510, Waterloo, IA 50702-5620

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 39658 (IA)

Other Pediatrics providers in Iowa →

Registry record

NPI: 1134384902
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2008
Record last updated: 4 Feb 2014

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.