Individual
DONOVAN BYRNE FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1107 N BROADWELL AVE, GRAND ISLAND, NE 68803-3755
(308) 398-5312
Mailing address
1230 PERSHING RD, HASTINGS, NE 68901-2835
(402) 462-6260
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10741
NE
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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