Organization
INTERNAL MEDICINE CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSIE M LEONARD CMA (BILLING OFFICE)
(402) 426-2210
Entity
Organization
Contact information
Practice address
407 S 19TH ST, BLAIR, NE 68008-1907
(402) 426-2210
(402) 426-2235
Mailing address
407 S 19TH ST, BLAIR, NE 68008-1907
(402) 426-2210
(402) 426-2235
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025285200
—
NE
Enumeration date
12/13/2006
Last updated
08/09/2012
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