Organization
CHENEY RIDGE FAMILY MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J BERTOLINI (PRESIDENT)
(402) 420-7113
Entity
Organization
Contact information
Practice address
3540 VILLAGE DR, SUITE 100, LINCOLN, NE 68516-4706
(402) 420-7113
Mailing address
3540 VILLAGE DR, SUITE 100, LINCOLN, NE 68516-4706
(402) 420-7113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16656
NE
Other
Enumeration date
06/22/2009
Last updated
05/18/2020
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