Provider Demographics
NPI:1023054590
Name:DAVIES, HERBERT OLADELE (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:OLADELE
Last Name:DAVIES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:402-559-2666
Mailing Address - Fax:402-559-2677
Practice Address - Street 1:988102 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8102
Practice Address - Country:US
Practice Address - Phone:402-559-2666
Practice Address - Fax:402-559-2677
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2012-07-02
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Provider Licenses
StateLicense IDTaxonomies
NE268072080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE26807OtherNE STATE LICENSE