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Organization

BLUFFS HEALTH CARE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN E. VAN NOY PA-C, MPAS (PHYSICIAN ASSISTANT)
(308) 633-1280
Entity
Organization

Contact information

Practice address
914 W 36TH STR, SCOTTSBLUFF, NE 69361
(308) 633-1280
(308) 633-1285
Mailing address
914 W 36TH STR, SCOTTSBLUFF, NE 69361
(308) 633-1280
(308) 633-1285

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
875
NE

Other

Enumeration date
08/06/2009
Last updated
08/06/2009
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