Gregory Alfred Nesteby LO BOC ABC ORTHODONT

NPI 1093899932 - Orthotist - 222Z00000X

NPI Details
NPI 1093899932
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2535 34TH STREET
LUBBOCK TX, 79410, US
Phone (806) 792-6193
Fax (806) 792-2863
Business Location
2535 34TH STREET
LUBBOCK TX, 79410, US
Phone (806) 792-6193
Fax (806) 792-2863
Toxanomy
Taxonomy Code 222Z00000X
License State Texas
License Number 377
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According to our database, Gregory Alfred Nesteby LO BOC ABC ORTHODONT NPI is 1093899932, taxonomy code is 222Z00000X and license number is 377, license state is located at Texas. Gregory Alfred Nesteby LO BOC ABC ORTHODONT physically located at 2535 34th Street, Lubbock TX, 79410. NPI Number Gregory Alfred Nesteby LO BOC ABC ORTHODONT has the Individual type.

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1093899932 NPI number is provided on an as is basis without warranty of any kind. 1093899932 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Alfred Nesteby LO BOC ABC ORTHODONT are for informational purposes only.