Organization
HOLDREGE MEDICAL CLINIC, P.C.
Active
Other names
Family Medical Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MAX SANDY MD (CEO)
(308) 995-4431
Entity
Organization
Contact information
Practice address
516 W 14TH AVE, STE 100, HOLDREGE, NE 68949-1215
(308) 995-4431
(308) 995-3247
Mailing address
516 W 14TH AVE, STE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063910813
—
NE
Enumeration date
07/05/2006
Last updated
06/23/2008
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