Organization
HEARTLAND EAR, NOSE & THROAT SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C KUO MD (PHYSICIAN/MANAGING PARTNER)
(402) 721-2623
Entity
Organization
Contact information
Practice address
1550 E 23RD ST, FREMONT, NE 68025-2414
(402) 721-2623
(402) 721-2339
Mailing address
1550 E 23RD ST, FREMONT, NE 68025-2414
(402) 721-2623
(402) 721-2339
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
22720
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025098000
—
NE
Enumeration date
08/13/2006
Last updated
08/24/2010
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