Organization
ROGER W. NUTT, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER WAYNE NUTT M.D. (PRESIDENT)
(928) 344-4907
Entity
Organization
Contact information
Practice address
710 S 13TH ST, SUITE 1200, NORFOLK, NE 68701-5792
(402) 370-4570
Mailing address
710 S 13TH ST, SUITE 1200, NORFOLK, NE 68701-5792
(402) 370-4570
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
15072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251778
—
AZ
Enumeration date
04/24/2007
Last updated
05/20/2009
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