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NPI Code Detail

MEDICARE: NORTH PLATTE SURGICAL ASSOCIATES, P.C.

MEDICARE: NORTH PLATTE SURGICAL ASSOCIATES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician

General Provider Information

NPI Number : 1295776904
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH PLATTE SURGICAL ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 516 W LEOTA ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6533
Country : US
Telephone Number : 308-534-5370
Fax Number : 307-534-3813
Provider Business Practice Location Address
First Line : 516 W LEOTA ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-6533
Country : US
Telephone Number : 308-534-5370
Fax Number : 307-534-3813
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT W BUCKLAND
Credential : MD
Telephone Number : 308-534-5370
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/22/2020

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