Organization
SURGICAL CLINICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E DAVIS MD (PRESIDENT)
(309) 343-7773
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344670
MEDICARE ID NUMBER
—
Enumeration date
07/18/2006
Last updated
03/04/2008
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