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Individual

WILLIAM J PLYMALE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1500 S 48TH ST, SUITE 605, LINCOLN, NE 68506-1276
(402) 489-7100
(402) 489-3249
Mailing address
901 QUAIL RIDGE CIR, BEATRICE, NE 68310-4348
(402) 223-3051
(402) 489-3249

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
150
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39305
BLUE CROSS BLUE SHIELD
NE
Enumeration date
10/17/2006
Last updated
01/29/2008
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