Individual
DONALD MAX GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3911 AVENUE B, SUITE 2110, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-2113
Mailing address
3911 AVENUE B, SUITE 2110, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11835
NE
Other
Enumeration date
09/22/2005
Last updated
12/06/2007
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