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Dr. Bradley Kincaid Hertzler, MD

Surgery in Scottsbluff, NE. Individual provider (NPI-1).

NPI number1780003293
StatusActive
Last updated in NPPESJul 23, 2019

Details

NPI
1780003293
Entity type
Individual (NPI-1)
Name
Dr. Bradley Kincaid Hertzler
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2014
Last updated
Jul 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery31872NEYes

Practice location

2 W 42nd St Ste 3100
Scottsbluff, NE 69361-4669

Phone 308-632-2872

Mailing address

2 W 42nd St Ste 3100
Scottsbluff, NE 69361-4669

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