Organization
MD WEST ONE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HILL (OPERATIONS MANAGER)
(402) 398-9243
Entity
Organization
Contact information
Practice address
808 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4601
(712) 396-4061
Mailing address
PO BOX 241353, OMAHA, NE 68124-5353
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/19/2008
Last updated
12/17/2020
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