Organization
FREMONT PEDIATRIC, ADOLESCENT AND YOUNG ADULT MEDICINE, LLC.
Active
Organization
FREMONT PEDIATRIC, ADOLESCENT AND YOUNG ADULT MEDICINE, LLC.
Active
Other names
Kid Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY N WOOLDRIDGE MD (OWNER)
(402) 727-5500
Entity
Organization
Contact information
Practice address
220 E 22ND ST, FREMONT, NE 68025-2606
(402) 727-5500
(402) 727-6047
Mailing address
220 E 22ND ST, FREMONT, NE 68025-2606
(402) 727-5500
(402) 727-6047
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18159
NE
Other
Enumeration date
10/17/2007
Last updated
08/01/2014
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