NPI 1003091497

Bloomfield Medical Clinic, PC

Organisation Medical Physician Assistant Bloomfield, NE

Practice location

Address: 105 S Broadway Avenue, Bloomfield, NE 68718-0357
Phone: (402) 373-4341
Fax: (402) 373-4344
Mailing address: 105 S Broadway Avenue P O Box 357, Bloomfield, NE 68718-0357

Authorised official

Name: Kevin D Lauck
Title: President
Phone: (402) 373-4341

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1040 (NE)

Other Physician Assistant providers in Nebraska →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 110153 (NE)

Other Nurse Practitioner providers in Nebraska →

Registry record

NPI: 1003091497
Entity type: Organization
NPI issued: 3 Jan 2008
Record last updated: 29 Mar 2010

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.