Individual
MARK DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S.
Contact information
Practice address
834 N SEMINARY ST, SUITE 503, GALESBURG, IL 61401-2852
(309) 343-7773
(309) 343-3839
Mailing address
834 N SEMINARY ST, SUITE 503, GALESBURG, IL 61401-2852
(309) 343-7773
(309) 343-3839
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
06/09/2006
Last updated
07/09/2007
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