Organization
U MED SPA & WEIGHT MANAGEMENT
Active
Organization
U MED SPA & WEIGHT MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DARYL RODGERS M.D. (OWNER/MEDICAL DIRECTOR)
(308) 224-2131
Entity
Organization
Contact information
Practice address
5609 1ST AVE, SUITE B, KEARNEY, NE 68847-2436
(308) 224-2131
(308) 224-2134
Mailing address
5609 1ST AVE, SUITE B, KEARNEY, NE 68847-2436
(308) 224-2131
(308) 224-2134
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
16658
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154405926
NPI
NE
Enumeration date
11/18/2014
Last updated
11/18/2014
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