Mark Davis, PA-C

NPI #1023304821 in Pueblo, Colorado

Provider Information

NPI Number
1023304821
Entity Type
Individual
Name
Mark Davis, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 21, 2011
Last Updated
Jun 21, 2011

Practice Location

Address
902 LAKEVIEW AVE
City
Pueblo
ZIP Code
81004-3597
Phone
(719) 557-5855

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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