Organization
PIERCE FAMILY PRACTICE L.L.C.
Active
Other names
Pierce Family Practice L.L.C. Gobbo Internal Medicine, Infectious Dis
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PIERCE (PRESIDENT)
(402) 450-8399
Entity
Organization
Contact information
Practice address
4430 ASH HOLLOW CT, LINCOLN, NE 68516-2983
(402) 450-8399
(402) 858-1281
Mailing address
4430 ASH HOLLOW CT, LINCOLN, NE 68516-2983
(402) 450-8399
(402) 858-1281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20387
NE
207RI0200X
Infectious Disease Physician
18104
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025522700
—
NE
01
—
DF8738
RAILROAD MEDICARE
NE
Enumeration date
06/11/2007
Last updated
03/18/2020
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