NPI 1003044660

Cheney Ridge Family Medical Clinic, PC

Organisation General Practice Physician Lincoln, NE

Practice location

Address: 3540 Village Dr Suite 100, Lincoln, NE 68516-4706
Phone: (402) 420-7113

Authorised official

Name: Patrick J Bertolini
Title: President
Phone: (402) 420-7113

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 16656 (NE)

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Registry record

NPI: 1003044660
Entity type: Organization
NPI issued: 22 Jun 2009
Record last updated: 18 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.