Organization
MIDWEST ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT L HARTLE (ADMINISTRATOR)
(402) 572-2663
Entity
Organization
Contact information
Practice address
6829 N 72 ST, SUITE 7500, OMAHA, NE 68122-1790
(402) 572-2663
(402) 572-2671
Mailing address
6829 N 72 ST, SUITE 7500, OMAHA, NE 68122-1790
(402) 572-2663
(402) 572-2671
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS877620
RAILROAD MEDICARE
—
Enumeration date
01/22/2007
Last updated
04/22/2008
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