Organization
PLATTE RIVER FOOT AND ANKLE SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WATERS DPM (AUTHORIZED OFFICIAL)
(402) 751-0600
Entity
Organization
Contact information
Practice address
306 W 2ND ST, HASTINGS, NE 68901-7532
(402) 751-0600
(402) 751-0800
Mailing address
306 W 2ND ST, HASTINGS, NE 68901-7532
(402) 751-0600
(402) 751-0800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
07/07/2022
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