Individual
DR. MARK DAVID PILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11043 PRAIRIE BROOK RD, OMAHA, NE 68144-4829
(402) 689-6811
(360) 844-6336
Mailing address
PO BOX 871897, VANCOUVER, WA 98687-1897
(402) 689-6811
(360) 844-6336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15805
NE
Other
Enumeration date
10/24/2005
Last updated
11/18/2009
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