Organization
STATES FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RENAE CORFIELD (ASSISTANT OFFICE MANAGER)
(308) 534-8383
Entity
Organization
Contact information
Practice address
209 MCNEEL LN, NORTH PLATTE, NE 69101-6054
(308) 534-8383
(308) 534-5670
Mailing address
209 MCNEEL LN, NORTH PLATTE, NE 69101-6054
(308) 534-8383
(308) 534-5670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19182
NE
Other
Enumeration date
10/05/2007
Last updated
07/28/2009
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