Davis, Mark B

Davis, Mark B is an individual health care provider with primary practice located at 3237 N Windsong Drive , Prescott Valley AZ 86314. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Davis, Mark B can be contacted via phone (928) 772-5320.

Contact Information

Primary practice address
3237 N Windsong Drive Prescott Valley AZ 86314
Phone: (928) 772-5320
Fax: (928) 772-5319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS10024 Florida
Other Service Providers / Specialist 174400000X 4810 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4810 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4810 Arizona

Profile Details

NPI number 1508885047
LBN Legal business name Davis, Mark B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508885047 NPPES
Florida MEDICAID 27845480-0
Florida Other P00459927

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