Organization
DAVID HULT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D HULT M.D. (OWNER)
(308) 537-7131
Entity
Organization
Contact information
Practice address
918 20TH STREET, GOTHENBURG, NE 69138-1237
(308) 537-7131
(308) 537-7310
Mailing address
918 20TH STREET, GOTHENBURG, NE 69138-1237
(308) 537-7131
(308) 537-7310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16997
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04210
NEBR BLUE CROSS
NE
05
—
10026082500
—
NE
01
—
32390
BC/BS
NE
01
—
4391
MIDLANDS CHOICE
NE
05
—
47069425800
—
NE
Enumeration date
06/11/2007
Last updated
04/13/2012
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