Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Davis, PA-C

Individual provider Physician Assistant · NPI 1023304821

Mark Davis, PA-C is a Physician Assistant in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

902 Lakeview Ave
Pueblo, CO 81004-3597
Phone: (719) 557-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3209 (CO)

Record details

NPI number1023304821
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 21, 2011
Last updated in NPPESJune 21, 2011
Mailing address902 Lakeview Ave, Pueblo, CO 81004-3597

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