Individual provider · Type 1 NPI

Mark David Nicolas

Trauma Surgery Physician · Springfield, MO

NPI number 1447645221 Active

Practice location

3800 S National Ave Ste 605
Springfield, MO 65807-5209

Call (417) 875-3000 Map

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician Primary 2086S0127X2021027694 (MO)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1447645221

Mark David Nicolas's National Provider Identifier is 1447645221, issued on Mar 30, 2015. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Springfield, MO. The record was last updated on Sep 1, 2026.