Organization · NPI-2

Fremont Medical Associates - Internal Medicine

Internal Medicine · Fremont, NE

NPI number1386627909
StatusActive
Last updated in NPPESDec 7, 2009

Details

NPI
1386627909
Entity type
Organization (NPI-2)
Legal business name
Fremont Medical Associates - Internal Medicine
Organization subpart
No
Enumeration date
Nov 29, 2005
Last updated
Dec 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Fremont Internal Medicine Complete Adult Care (Other Name)

Practice location

680 E Fremont Medical Park Drive
Suite 100
Fremont, NE 68025-2039

Phone 402-727-5200 · Fax 402-721-5230

Mailing address

680 E Fremont Medical Park Drive
Suite 100
Fremont, NE 68025-2039

Phone 402-727-5200 · Fax 402-721-5230

Authorized official

Thomas S Robertson
Physician
4027275200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Fremont, NE