MEDICARE: DR. RICHARD R. CIMPL M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	16318	NE

General Provider Information

NPI Number	:	1376597120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD R. CIMPL M.D.

Provider Business Mailing Address
First Line	:	4508 38TH ST
Second Line	:	SUITE 133
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-563-3644
Fax Number	:	402-564-5805

Provider Business Practice Location Address
First Line	:	4508 38TH ST
Second Line	:	SUITE 133
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-563-3644
Fax Number	:	402-564-5805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	12/17/2013

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