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NPI Code Detail

MEDICARE: EDWARD D DISCOE M.D.

MEDICARE: EDWARD D DISCOE 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
1207Q00000XFamily Medicine Physician20415NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447252721
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD D DISCOE M.D.
Provider Business Mailing Address
First Line : 1454 28TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4944
Country : US
Telephone Number : 402-564-2816
Fax Number : 402-564-1312
Provider Business Practice Location Address
First Line : 1454 28TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4944
Country : US
Telephone Number : 402-564-2816
Fax Number : 402-564-1312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/20/2024

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