Organization
PANHANDLE SURGICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D. LIAS M.D. (PRESIDENT)
(308) 747-2135
Entity
Organization
Contact information
Practice address
709 W 4TH ST STE 2, CHADRON, NE 69337-2270
(308) 747-2135
(308) 747-2034
Mailing address
709 W 4TH ST STE 2, CHADRON, NE 69337-2270
(308) 747-2135
(308) 747-2034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19787
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00859
BCBS OF NE
NE
Enumeration date
03/13/2007
Last updated
01/18/2019
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