Organization
GREAT PLAINS FOOT AND ANKLE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH C MATSON (INSURANCE BILLING SPECIALIST)
(308) 532-3600
Entity
Organization
Contact information
Practice address
815 S MAPLE ST, NORTH PLATTE, NE 69101-5282
(308) 532-3600
(308) 532-6288
Mailing address
815 S MAPLE ST, NORTH PLATTE, NE 69101-5282
(308) 532-3600
(308) 532-6288
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
235
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS9720
RAILROAD MEDICARE GROUP
NE
Enumeration date
10/03/2006
Last updated
01/30/2019
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