# BELLEVUE FAMILY PRACTICE PC

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

## Provider details

- **NPI number:** 1932153400
- **Authorized official:** DR. ROBERT J SANUIK (PRESIDENT)
- **Authorized official phone:** (402) 292-9170

## Contact information

- **Practice address:** 2206 LONGO DR, SUITE 201, BELLEVUE, NE 68005-2977
- **Practice address phone:** (402) 292-9170
- **Practice address fax:** (402) 292-0119
- **Mailing address:** 2206 LONGO DR, SUITE 201, BELLEVUE, NE 68005-2977
- **Mailing address phone:** (402) 292-9170
- **Mailing address fax:** (402) 292-0119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/11/2022