NPI 1114932860

Prairie Fields Family Medicine, P.C.

Organisation Family Medicine Physician Fremont, NE

Practice location

Address: 350 W 23rd St, Fremont, NE 68025-2592
Phone: (402) 721-7077
Fax: (402) 753-6056
Mailing address: PO Box 24737, Omaha, NE 68124-0737

Authorised official

Name: Scott Cooney
Title: Administrator
Phone: (402) 721-7077

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Nebraska →

Registry record

NPI: 1114932860
Entity type: Organization
NPI issued: 30 Jul 2006
Record last updated: 23 Aug 2007

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.