Individual
ALIDA ASENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HWY 77/75, WINNEBAGO, NE 68067-0767
(402) 878-2231
(402) 878-2237
Mailing address
PO BOX HH, HWY 77/75, WINNEBAGO, NE 68067-0767
(402) 878-2231
(402) 878-2237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5174
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01063
—
ND
Enumeration date
10/05/2006
Last updated
04/12/2013
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