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Organization
SOUTHPOINTE FAMILY PHYSICIANS, P.C.
Active
Organization
SOUTHPOINTE FAMILY PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN P MARTIN M.D. (OWNER)
(402) 323-8400
Entity
Organization
Contact information
Practice address
6820 S 32ND ST, LINCOLN, NE 68516-6025
(402) 323-8400
(402) 323-8403
Mailing address
6820 S 32ND ST, LINCOLN, NE 68516-6025
(402) 323-8400
(402) 323-8403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01837
BCBS
NE
01
—
CH4102
MEDICARE TRAVELERS
—
Enumeration date
05/25/2007
Last updated
04/20/2008
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