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Organization

BELLEVUE FOOT CENTER, P.C.

Active
Other names
Papillion Foot and Ankle Center
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN MICHAEL LITTLE DPM (OWNER/PODIATRIST)
(402) 291-3123
Entity
Organization

Contact information

Practice address
1413 S WASHINGTON ST STE 270, PAPILLION, NE 68046-4193
(402) 291-3123
(402) 291-1560
Mailing address
1413 S WASHINGTON ST STE 270, PAPILLION, NE 68046-4193
(402) 291-3123

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
186
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01946
BCBS NE
NE
01
CS4192
PALMETTO GBA RR MEDICARE
Enumeration date
01/10/2006
Last updated
02/02/2023
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