Robert James Reilly PA-C

NPI 1629092580 - Physician Assistant - 363A00000X

NPI Details
NPI 1629092580
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2707 L ST
SUITE 1
ORD NE, 68862-1275, US
Phone (308) 728-4202
Fax (308) 728-3500
Business Location
2707 L ST
SUITE 1
ORD NE, 68862-1275, US
Phone (308) 728-4202
Fax (308) 728-3500
Toxanomy
Taxonomy Code 363A00000X
License State Nebraska
License Number 563
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According to our database, Robert James Reilly PA-C NPI is 1629092580, taxonomy code is 363A00000X and license number is 563, license state is located at Nebraska. Robert James Reilly PA-C physically located at 2707 L St, Ord NE, 68862-1275. NPI Number Robert James Reilly PA-C has the Individual type.

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1629092580 NPI number is provided on an as is basis without warranty of any kind. 1629092580 is maintained by the National Plan & Provider Enumeration System. The contents of Robert James Reilly PA-C are for informational purposes only.