NPI 1629092580

Robert James Reilly, PAC

Practitioner Physician Assistant Ord, NE

Practice location

Address: 2707 L St Suite 1, Ord, NE 68862-1275
Phone: (308) 728-4202
Fax: (308) 728-3500

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 563 (NE)

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Registry record

NPI: 1629092580
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2006
Record last updated: 22 Jul 2013

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.