Whalio Doctors

NPI 1003896010

Richard Bruce Koefoot, MD

Practitioner Specialist Grand Island, NE

Practice location

Address
620 N Alpha St, Grand Island, NE 68803-4316
Phone
(308) 381-0473
Fax
(308) 381-2616

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 18143 (NE)

Registry record

NPI
1003896010
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jan 2006
Record last updated
28 Jan 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.