Organization
BOZARTH ORTHOPAEDIC AND OCCUPATIONAL MEDICINE LLC
Active
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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