GREAT PLAINS INTERNAL MEDICINE PC MNE

BELLEVUE, NE
NPI1851336374
Entity TypeOrganization
Authorized ContactROY W HOLEYFIELD
President
402-242-3987
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NE  20728)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: NE  110102)
207R00000X Internal Medicine
(Licence: NE  15518)
Enumeration Date2006-06-18
Last Update Date2008-04-20
Business Address
GREAT PLAINS INTERNAL MEDICINE PC MNE
10135 S 25TH ST
BELLEVUE, NE 68123-1017
Phone number: 402-292-3987
Mailing Address
GREAT PLAINS INTERNAL MEDICINE PC MNE
10135 S 25TH ST
BELLEVUE, NE 68123-1017
Phone number: 402-292-3987