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Organization
NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
Active
Organization
NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
Active
Other names
Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD A SUMMY DMP (OWNER)
(402) 991-8999
Entity
Organization
Contact information
Practice address
1301 N 72ND ST, OMAHA, NE 68114-1903
(402) 991-8999
(402) 331-6537
Mailing address
2705 SAMSON WAY, BELLEVUE, NE 68123-4307
(402) 991-8999
(402) 331-6537
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
289
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026123800
—
NE
Enumeration date
03/11/2014
Last updated
08/28/2020
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