Organization · NPI-2

All Seasons Family Medicine LLC

Family Medicine · Papillion, NE

NPI number1508500216
StatusActive
Last updated in NPPESJun 23, 2022

Details

NPI
1508500216
Entity type
Organization (NPI-2)
Legal business name
All Seasons Family Medicine LLC
Organization subpart
No
Enumeration date
Apr 27, 2022
Certification date
Jun 23, 2022
Last updated
Jun 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498

Phone 402-201-2300 · Fax 402-201-2307

Mailing address

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498

Phone 402-201-2300 · Fax 402-201-2307

Authorized official

Cindy Janssen
President
4022012300

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