Organization
MIDLANDS OB-GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W. DAVIS M.D. (PRESIDENT)
(402) 644-6400
Entity
Organization
Contact information
Practice address
301 N 31ST ST, NORFOLK, NE 68701-3466
(402) 644-4600
(402) 644-3430
Mailing address
301 N 31ST ST, NORFOLK, NE 68701-3466
(402) 644-4600
(402) 644-3430
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025059200
—
NE
Enumeration date
08/31/2006
Last updated
05/10/2011
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