Organization
NEW WEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY, P.C.
Active
Organization
NEW WEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SWANSON (PRACTICE ADMINISTRATOR)
(308) 865-2570
Entity
Organization
Contact information
Practice address
2810 W. 35TH ST, KEARNEY, NE 68845-2886
(308) 865-2570
(308) 865-2508
Mailing address
2810 W 35TH ST, KEARNEY, NE 68845-2909
(308) 865-2570
(308) 865-2508
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026637500
—
NE
Enumeration date
05/27/2006
Last updated
07/06/2017
Update your record
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