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Brooke Boggs Llc
Primary Care Clinic/Center in Grand Island, Nebraska
NPI 1396300562

Brooke Boggs Llc is a Primary Care Clinic/Center based in Grand Island, NE and is specialized in Primary Care. Brooke Boggs Llc practices in Grand Island, NE. The NPI Number for Brooke Boggs Llc is 1396300562 and holds a License No. (Nebraska).

The current practice location address for Brooke Boggs Llc is 403 Lexington Cir, Grand Island, NE and can be reached out via phone at 308-227-6119 and via fax at 308-888-0018.

Location: 403 Lexington Cir, Grand Island, NE, 68803-9728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396300562
Provider Name
Brooke Boggs Llc
Credential
Provider Entity Type
Organization
Address
403 Lexington Cir, Grand Island, NE, 68803-9728
Phone Number
308-227-6119
Fax Number
308-888-0018
Provider Enumeration Date
05/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50511752800 05 NE
institution
Provider Business Practice Location Address Details
Address
403 Lexington Cir
City
Grand Island
State
Nebraska
Zip
68803-9728
Phone Number
308-227-6119
Fax Number
308-888-0018
person
Provider Business Mailing Address Details
Address
403 Lexington Cir
City
Grand Island
State
Nebraska
Zip
68803-9728
Phone Number
308-227-6119
Fax Number
308-888-0018
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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