Brent L Madsen PA-C

NPI 1003897661 - Physician Assistant - 363A00000X

NPI Details
NPI 1003897661
Gender Male
Enumeration Date 11/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
120 PARK AVE
HEBRON NE, 68370-2019, US
Phone (402) 768-7203
Fax (402) 768-4669
Business Location
120 PARK AVE
HEBRON NE, 68370-2019, US
Phone (402) 768-7203
Fax (402) 768-4669
Toxanomy
Taxonomy Code 363A00000X
License State Nebraska
License Number 631
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According to our database, Brent L Madsen PA-C NPI is 1003897661, taxonomy code is 363A00000X and license number is 631, license state is located at Nebraska. Brent L Madsen PA-C physically located at 120 Park Ave, Hebron NE, 68370-2019. NPI Number Brent L Madsen PA-C has the Individual type.

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1003897661 NPI number is provided on an as is basis without warranty of any kind. 1003897661 is maintained by the National Plan & Provider Enumeration System. The contents of Brent L Madsen PA-C are for informational purposes only.