Organization
CHILDREN & ADOLESEANT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW UTECHT (ADMINISTRATOR)
(402) 463-6828
Entity
Organization
Contact information
Practice address
2115 N KANSAS AVE STE 103, HASTINGS, NE 68901-2615
(402) 463-6728
(402) 463-4767
Mailing address
2115 N KANSAS AVE STE 103, HASTINGS, NE 68901-2615
(402) 463-6728
(402) 463-4767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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