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Organization

NORTH PLATTE NEBRASKA PHYSICIAN GROUP LLC

Active
Other names
Great Plains General Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRYSTAL R. CLAYMORE (CFO)
(308) 696-7496
Entity
Organization

Contact information

Practice address
516 W LEOTA ST, NORTH PLATTE, NE 69101-6533
(308) 534-5370
(308) 534-3813
Mailing address
516 W LEOTA ST, NORTH PLATTE, NE 69101-6533
(308) 534-5370
(308) 534-3813

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
11/20/2012
Last updated
05/16/2014
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