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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLOOMFIELD MEDICAL CLINIC, PC

Active Organization

Medical Physician Assistant · BLOOMFIELD, NE

Registration Details

NPI Number
1003091497
Provider Type
Organization
NPI Issued
Jan 3, 2008 (18.321010016801 yrs)
Last Updated
Mar 29, 2010
Licenses
110153 (NE)
1040 (NE)

Practice Information

Address
105 S BROADWAY AVENUE
BLOOMFIELD, NE, 687180357
Browse NE providers · Browse ZIP 68718
Phone
4023734341
Fax
4023734344
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.