Organization
BOZARTH ORTHOPAEDIC AND OCCUPATIONAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R. BOZARTH M.D. (PRESIDENT PHYSICIAN)
(402) 466-0555
Entity
Organization
Contact information
Practice address
8207 NORTHWOODS DR, LINCOLN, NE 68505-2093
(402) 466-0555
(402) 488-0743
Mailing address
PO BOX 67250, LINCOLN, NE 68506-7250
(402) 328-8833
(402) 328-2921
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025496100
—
NE
01
—
612249700
DOL ACS WORKERS COMP
—
Enumeration date
03/16/2007
Last updated
05/24/2010
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