Individual
GARY R GOODLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
13404 S 35TH ST, BELLEVUE, NE 68123-2241
(531) 210-8299
Mailing address
13404 S 35TH ST, BELLEVUE, NE 68123-2241
(531) 210-8299
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
18269
NE
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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