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Individual

STEPHEN E VAN NOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2101 BOX BUTTE AVE., ALLIANCE, NE 69301
(308) 762-7244
(308) 762-6657
Mailing address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301
(308) 762-7244
(308) 762-6657

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
875
NE

Other

Enumeration date
02/15/2007
Last updated
09/14/2012
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