Graduated: 2019
NPI: 1215586235
Practice Locations (3)
CITY OF GENOA
303 BROADWAY ST
FULLERTON, NE 686383152
4029932283
CITY OF GENOA
706 EWING ST
GENOA, NE 686403035
CITY OF GENOA
706 EWING ST, GENOA COMMUNITY HOSPITAL
GENOA, NE 686403035
4029932206
Source: CMS National Downloadable File, September 2026.