Great Plains Internal Medicine PC Mne

NPI #1851336374 in Bellevue, Nebraska

Provider Information

NPI Number
1851336374
Entity Type
Organization
Organization Name
Great Plains Internal Medicine PC Mne
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 18, 2006
Last Updated
Apr 20, 2008

Practice Location

Address
10135 S 25TH ST
ZIP Code
68123-1017
Phone
(402) 292-3987

Authorized Official

Name
DR. ROY W HOLEYFIELD, MD
Title
PRESIDENT
Phone
(402) 242-3987

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse
Internal Medicine

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