Organization
PLATTE RIVER FOOT AND ANKLE SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EUGENE WATERS DPM (AUTHORIZED OFFICIAL)
(402) 463-1355
Entity
Organization
Contact information
Practice address
720 US-6, GRETNA, NE 68028
(402) 751-0600
(402) 751-0800
Mailing address
620 N DENVER AVE, HASTINGS, NE 68901-5122
(402) 463-1355
(402) 463-6947
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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