Organization
NEXTGEN MALE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON DAVID BOYD (OWNER/OFFICE MANAGER)
(402) 614-9700
Entity
Organization
Contact information
Practice address
17602 WRIGHT ST STE 105, OMAHA, NE 68130-2097
(402) 614-9700
(402) 359-1751
Mailing address
17602 WRIGHT ST STE 105, OMAHA, NE 68130-2097
(402) 614-9700
(402) 359-1751
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/06/2020
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