Organization
ALLIANCE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTI D. JORDAN (OFFICE MANAGER)
(308) 762-2534
Entity
Organization
Contact information
Practice address
2091 BOX BUTTE AVE, SUITE 500, ALLIANCE, NE 69301
(308) 762-2534
(308) 762-2764
Mailing address
2091 BOX BUTTE AVE, SUITE 500, ALLIANCE, NE 69301
(308) 762-2534
(308) 762-2764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025270600
—
NE
Enumeration date
06/24/2006
Last updated
03/13/2018
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