NOT USED
Organization (NPI-2)
Active
Internal Medicine, Interventional Cardiology
Provider Information
- NPI Number
1215281662- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3219 CENTRAL AVE STE 106, KEARNEY, NE, 688472949
- Phone
- (308) 865-2601
- Fax
- (308) 865-2829
Specialties & Taxonomies
Internal Medicine, Interventional Cardiology
Primary License: NE #19175