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Individual

DAVID C IMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1275 SAGE ST, GERING, NE 69341-3227
(308) 436-2101
(308) 436-3681
Mailing address
1275 SAGE ST, GERING, NE 69341-3227
(308) 436-2101
(308) 436-3681

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12682
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080074004
MEDICARE RAILROAD
01
12682
STATE LICENSE
01
283821A
RURAL HEALTH
Enumeration date
08/02/2006
Last updated
10/26/2007
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