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Skyline Medical Center, P.C.

Clinic/Center, Medical Specialty in Elkhorn, NE. Organization (NPI-2).

NPI number1477526341
StatusActive
Last updated in NPPESAug 17, 2018

Details

NPI
1477526341
Entity type
Organization (NPI-2)
Legal business name
Skyline Medical Center, P.C.
Organization subpart
No
Enumeration date
Feb 9, 2006
Last updated
Aug 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty––Yes

Practice location

1908 N 203rd St
Elkhorn, NE 68022-2889

Phone 402-289-4031 · Fax 402-289-3185

Mailing address

1908 N 203rd St
Elkhorn, NE 68022-2889

Phone 402-289-4031 · Fax 402-289-3185

Authorized official

William P Fitzgibbons
President
4022894031

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