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NPI Code Detail

MEDICARE: DONOVAN BYRNE FOOTE M. D.

MEDICARE: DONOVAN BYRNE FOOTE 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
1207Y00000XOtolaryngology Physician10741NE

General Provider Information

NPI Number : 1922333954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONOVAN BYRNE FOOTE M. D.
Provider Business Mailing Address
First Line : 1230 PERSHING RD
Second Line :
City : HASTINGS
State : NE
Zip : 68901-2835
Country : US
Telephone Number : 402-462-6260
Fax Number :
Provider Business Practice Location Address
First Line : 1107 N BROADWELL AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-3755
Country : US
Telephone Number : 308-398-5312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2009
Last Update Date : 10/08/2009

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