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Individual
DR. RICHARD BRUCE KOEFOOT
Active
Individual
DR. RICHARD BRUCE KOEFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18143
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00378
BLUE CROSS
NE
01
—
247460
MIDLANDS CHOICE
NE
01
—
P00241093
RAILROAD MEDICARE
NE
Enumeration date
01/18/2006
Last updated
01/28/2010
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