# PLATTE RIVER FOOT AND ANKLE SURGEONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750958369
- **Authorized official:** DAVID EUGENE WATERS DPM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (402) 463-1355

## Contact information

- **Practice address:** 720 US-6, GRETNA, NE 68028
- **Practice address phone:** (402) 751-0600
- **Practice address fax:** (402) 751-0800
- **Mailing address:** 620 N DENVER AVE, HASTINGS, NE 68901-5122
- **Mailing address phone:** (402) 463-1355
- **Mailing address fax:** (402) 463-6947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021