Individual
DR. MARK EDWARD SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
810 N 22ND ST, BLAIR, NE 68008
(402) 426-2182
(402) 426-1190
Mailing address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
(402) 426-1190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
179
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
179
NE
Other
Enumeration date
06/09/2006
Last updated
05/23/2018
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