Organization
CENTRAL NEBRASKA SPINAL SURGERY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BENAVIDES M.D. (PRESIDENT)
(308) 865-2557
Entity
Organization
Contact information
Practice address
816 22ND AVE STE 101, KEARNEY, NE 68845-2226
(308) 865-2557
(308) 865-1461
Mailing address
816 22ND AVE STE 101, KEARNEY, NE 68845-2226
(308) 865-2557
(308) 865-1461
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025346500
—
NE
Enumeration date
12/05/2006
Last updated
03/17/2018
Update your record
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