NPI 1255149704

George Mountain

Practitioner Contractor Elkhorn, NE

Practice location

Address: 1309 N 206th St, Elkhorn, NE 68022-6935
Phone: (402) 312-1353

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1255149704
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2024
Record last updated: 30 Dec 2024

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.