Fairbury Clinic, P.c.

NPI #1619948551 in Fairbury, Nebraska

Provider Information

NPI Number: 1619948551
Entity Type: Organization
Organization Name: Fairbury Clinic, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Jan 30, 2006
Last Updated: Oct 12, 2010

Practice Location

Address: 825 22ND ST
City: Fairbury
State: Nebraska
ZIP Code: 68352-1299
Phone: (402) 729-3361

Authorized Official

Name: JACKI MOELLENBERNDT
Title: OFFICE MANAGER
Phone: (402) 729-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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