Organization
PRAIRIE FIELDS FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COONEY (ADMINISTRATOR)
(402) 721-7077
Entity
Organization
Contact information
Practice address
350 W 23RD ST, FREMONT, NE 68025-2592
(402) 721-7077
(402) 753-6056
Mailing address
PO BOX 24737, OMAHA, NE 68124-0737
(402) 502-8787
(402) 502-8788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
08/23/2007
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