Western Family Medicine Pc

NPI 1669471801 - Clinic/Center - 261Q00000X

NPI Details
NPI 1669471801
Enumeration Date 07/19/2005
Last Updated 11/18/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EDWARD C. EDWARD
Position SECRETARY
Phone (308) 630-7977
Fax (308) 630-1028
Practice Location
2 W 42ND STREET
SUITE 2800
SCOTTSBLUFF NE, 69361-4660, US
Phone (308) 630-7977
Fax (308) 630-1028
Business Location
PO BOX 1498
SCOTTSBLUFF NE, 69363-1498, US
Phone (308) 630-7977
Fax (308) 630-1028
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Western Family Medicine Pc NPI is 1669471801, taxonomy code is 261Q00000X Western Family Medicine Pc physically located at 2 W 42nd Street, Scottsbluff NE, 69361-4660. NPI Number 1033115704 has the healthcare provider type.

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1669471801 NPI number is provided on an as is basis without warranty of any kind. 1669471801 is maintained by the National Plan & Provider Enumeration System. The contents of Western Family Medicine Pc are for informational purposes only.