Bryce A Exstrom P.A.

NPI 1003866237 - Physician Assistant - 363A00000X

NPI Details
NPI 1003866237
Gender Male
Enumeration Date 05/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
350 W 23RD ST
SUITE D
FREMONT NE, 68025-2592, US
Phone (402) 721-8800
Fax (402) 753-6096
Business Location
350 W 23RD ST
SUITE D
FREMONT NE, 68025-2592, US
Phone (402) 721-8800
Fax (402) 753-6096
Toxanomy
Taxonomy Code 363A00000X
License State Nebraska
License Number 93
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According to our database, Bryce A Exstrom P.A. NPI is 1003866237, taxonomy code is 363A00000X and license number is 93, license state is located at Nebraska. Bryce A Exstrom P.A. physically located at 350 W 23rd St, Fremont NE, 68025-2592. NPI Number Bryce A Exstrom P.A. has the Individual type.

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1003866237 NPI number is provided on an as is basis without warranty of any kind. 1003866237 is maintained by the National Plan & Provider Enumeration System. The contents of Bryce A Exstrom P.A. are for informational purposes only.