NPI | 1003338658 |
---|---|
Doing Business As | FREMONT HEALTH PRIMARY CARE, PCMH |
Entity Type | Organization |
Authorized Contact | BRETT M RICHMOND President 402-727-1610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-07-14 |
Last Update Date | 2017-07-14 |