Individual
SAMUEL DAVID MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6305 LAFAYETTE AVE, OMAHA, NE 68132-1254
(712) 249-8451
Mailing address
6305 LAFAYETTE AVE, OMAHA, NE 68132-1254
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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