| Medpeds Pc | |
|
4209 N 195th St Elkhorn NE 68022-5174 | |
| (402) 557-5703 | |
| Not Available |
| Full Name | Medpeds Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4209 N 195th St, Elkhorn, Nebraska |
| Authorized Official Name and Position | Lori Brunner-buck (OWNER) |
| Authorized Official Contact | 4026583014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpeds Pc 4209 N 195th St Elkhorn NE 68022-5174 Ph: (402) 557-5703 | Medpeds Pc 4209 N 195th St Elkhorn NE 68022-5174 Ph: (402) 557-5703 |
| NPI Number | 1457898116 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457898116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23344 (Nebraska) | Primary |
| 208000000X | Pediatrics | 23344 (Nebraska) | Secondary |
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