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Dr. Richard Bruce Koefoot, MD
Specialist in Grand Island, Nebraska
NPI 1003896010

Richard Bruce Koefoot is a Specialist based in Grand Island, NE. Richard Bruce Koefoot practices in Grand Island, NE and has the professional credentials of MD. The NPI Number for Richard Bruce Koefoot is 1003896010 and holds a License No. 18143 (Nebraska).

The current practice location address for Richard Bruce Koefoot is 620 N Alpha St, Grand Island, NE and can be reached out via phone at 308-381-0473 and via fax at 308-381-2616.

Location: 620 N Alpha St, Grand Island, NE, 68803-4316
person
Provider Profile Details
NPI Number
1003896010
Provider Name
Richard Bruce Koefoot
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 N Alpha St, Grand Island, NE, 68803-4316
Phone Number
308-381-0473
Fax Number
308-381-2616
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00378 01 NE BLUE CROSS
247460 01 NE MIDLANDS CHOICE
P00241093 01 NE RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
620 N Alpha St
City
State
Zip
68803-4316
Phone Number
308-381-0473
Fax Number
308-381-2616
person
Provider Business Mailing Address Details
Address
620 N Alpha St
City
State
Zip
68803-4316
Phone Number
308-381-0473
Fax Number
308-381-2616
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
18143 (Nebraska)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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