Organization
EAR, NOSE, THROAT & SINUS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER J SIMPSON M.D. (OWNER)
(308) 532-6165
Entity
Organization
Contact information
Practice address
106 E C ST, NORTH PLATTE, NE 69101-5411
(308) 532-6165
(308) 532-7464
Mailing address
106 E C ST, NORTH PLATTE, NE 69101-5411
(308) 532-6165
(308) 532-7464
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53752953300
—
NE
Enumeration date
03/28/2012
Last updated
03/28/2012
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