Organization
MARK L DAVIS OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAVIS OD (OWNER)
(515) 630-2875
Entity
Organization
Contact information
Practice address
103 2ND ST SE, ALTOONA, IA 50009-1809
(515) 630-2875
Mailing address
3333 DUBUQUE AVE, DES MOINES, IA 50317-2767
(515) 630-2875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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