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Organization
GREAT PLAINS N UROLOGY PC
Active
Organization
GREAT PLAINS N UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCHMIDT (MD)
(308) 414-1968
Entity
Organization
Contact information
Practice address
600 W 12TH ST, IMPERIAL, NE 69033-3130
(308) 414-1968
(308) 534-3404
Mailing address
PO BOX 1542, RAPID CITY, SD 57709-1542
(308) 414-1968
(308) 534-3404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22506
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099638002
MEDICARE
—
05
—
100250070-00
—
NE
05
—
100263002-00
—
NE
Enumeration date
03/22/2007
Last updated
04/01/2014
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