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Organization
PLATTE RIVER FOOT AND ANKLE SURGEONS LLC
Active
Organization
PLATTE RIVER FOOT AND ANKLE SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EUGENE WATERS DPM (AUTHORIZED OFFICIAL)
(402) 463-1355
Entity
Organization
Contact information
Practice address
720 US-6, GRETNA, NE 68028
(402) 751-0600
(402) 751-0800
Mailing address
620 N DENVER AVE, HASTINGS, NE 68901-5122
(402) 463-1355
(402) 463-6947
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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