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Western Nebraska Urology LLC

Urology in Scottsbluff, NE. Organization (NPI-2).

NPI number1720162993
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720162993
Entity type
Organization (NPI-2)
Legal business name
Western Nebraska Urology LLC
Organization subpart
No
Enumeration date
Oct 24, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology22723ILYes

Practice location

2 West 42nd Street
Suite 3600
Scottsbluff, NE 69361

Phone 308-630-2450 · Fax 308-630-2492

Mailing address

2 West 42nd Street
Suite 3600
Scottsbluff, NE 69361

Phone 308-630-2450 · Fax 308-630-2492

Authorized official

Shawn Michael Acino
President
3086302450

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