Richard Bruce Koefoot M.D.

NPI 1003896010 - Specialist - 174400000X

NPI Details
NPI 1003896010
Gender Male
Enumeration Date 01/18/2006
Last Updated 01/28/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
620 N ALPHA ST
GRAND ISLAND NE, 68803-4316, US
Phone (308) 381-0473
Fax (308) 381-2616
Business Location
620 N ALPHA ST
GRAND ISLAND NE, 68803-4316, US
Phone (308) 381-0473
Fax (308) 381-2616
Toxanomy
Taxonomy Code 174400000X
License State Nebraska
License Number 18143
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According to our database, Dr. Richard Bruce Koefoot M.D. NPI is 1003896010, taxonomy code is 174400000X and license number is 18143, license state is located at Nebraska. Richard Bruce Koefoot M.D. physically located at 620 N Alpha St, Grand Island NE, 68803-4316. NPI Number Richard Bruce Koefoot M.D. has the Individual type.

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1003896010 NPI number is provided on an as is basis without warranty of any kind. 1003896010 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Bruce Koefoot M.D. are for informational purposes only.