Joseph Davis Law Iv, MD | |
2444 W Faidley Ave, Grand Island, NE 68803-4327 | |
(308) 382-1100 | |
(308) 385-0796 |
Full Name | Joseph Davis Law Iv |
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Gender | Male |
Speciality | Pediatrics |
Location | 2444 W Faidley Ave, Grand Island, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699063313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 6259 (Nebraska) | Primary |
Entity Name | Grand Island Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598766735 PECOS PAC ID: 9931181526 Enrollment ID: O20040607000660 |
Mailing Address | Practice Location Address |
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Joseph Davis Law Iv, MD Po Box 550, Grand Island, NE 68802-0550 Ph: (308) 382-1100 | Joseph Davis Law Iv, MD 2444 W Faidley Ave, Grand Island, NE 68803-4327 Ph: (308) 382-1100 |
Melissa Karen Law, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 | |
Karen M Higgins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 | |
Janice M Kutilek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 | |
Dr. Morgan Marie Carson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 130-838-2110 | |
Douglas Alan Boon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 | |
Timothy Andrew Gardner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 | |
Agnes Gomes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 |