Individual
DR. TODD E HLAVATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-7741
Mailing address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-7741
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20065
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31320
BLUE CROSS BLUE SHIELD
NE
01
—
4983
MIDLANDS CHOICE
NE
05
—
56138797001
—
NE
01
—
920007620
MEDICARE RAILROAD
NE
Enumeration date
11/18/2006
Last updated
01/28/2010
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