Organization
GEORGETOWN MEDICAL, PC
Active
Other names
Georgetown Medical, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE STANLEY HUTFLESS MD (OWNER/PHYSICIAN)
(402) 556-3000
Entity
Organization
Contact information
Practice address
3440 S 50TH ST, OMAHA, NE 68106-3829
(402) 556-3000
(402) 991-7115
Mailing address
3440 S 50TH ST, OMAHA, NE 68106-3829
(402) 556-3000
(402) 991-7115
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
218816123
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18358
STATE LIC.# G. HUTFLESS
NE
01
—
1891765004
GEORGE HUTFLESS,MD NPI #
NE
05
—
2801-1204
—
NE
05
—
2801-18358
—
NE
05
—
2965301
—
IA
01
—
508741492
GEORGE HUTFLESS S.SEC. #
NE
Enumeration date
02/20/2006
Last updated
03/07/2023
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