Organization
SPAN PSYCHIATRY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVDEEP SOOD (OWNER)
(308) 395-1035
Entity
Organization
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 395-1035
Mailing address
224 PONDEROSA DR, GRAND ISLAND, NE 68803-9647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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