NPI 1003896010
Richard Bruce Koefoot, MD
Practice location
- Address
- 620 N Alpha St, Grand Island, NE 68803-4316
- Phone
- (308) 381-0473
- Fax
- (308) 381-2616
Registered specialties
Specialist
Primary
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.