Individual
JOSEPH DAVIS LAW IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
(308) 385-0796
Mailing address
PO BOX 550, GRAND ISLAND, NE 68802-0550
(308) 382-1100
(308) 385-0796
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6259
NE
Other
Enumeration date
07/14/2011
Last updated
11/10/2023
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