Organization
DEER VALLEY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANPO WICAHPI CHARGING THUNDER MD (OWNER, PHYSICIAN)
(308) 299-8518
Entity
Organization
Contact information
Practice address
405 W 7TH ST, GORDON, NE 69343-1053
(308) 299-8518
(949) 817-0772
Mailing address
405 W 7TH ST, GORDON, NE 69343-1053
(308) 299-8518
(949) 817-0772
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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