Individual
MARIAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-6077
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-6077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018003022
MO
208000000X
Pediatrics Physician
Primary
32054
NE
Other
Enumeration date
03/28/2016
Last updated
10/21/2019
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