Bloomfield Medical Clinic, PC
NPI #1003091497 in Bloomfield, Nebraska
Provider Information
- NPI Number
- 1003091497
- Entity Type
- Organization
- Organization Name
- Bloomfield Medical Clinic, PC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Jan 3, 2008
- Last Updated
- Mar 29, 2010
Practice Location
- Address
- 105 S BROADWAY AVENUE
- City
- Bloomfield
- State
- Nebraska
- ZIP Code
- 68718-0357
- Phone
- (402) 373-4341
Authorized Official
- Name
- KEVIN D LAUCK, PA-C
- Title
- PRESIDENT
- Phone
- (402) 373-4341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Physician Assistant - Medical — Medical |
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