| NPI | 1174932388 |
|---|---|
| Doing Business As | PLATTE VALLEY MEDICAL CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | TOM MCLEOD Administrator 308-865-2263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-10-29 |