Individual provider · Type 1 NPI

Richard Bruce Koefoot, MD

Specialist · Grand Island, NE

NPI number 1003896010 Active

Practice location

620 N Alpha St
Grand Island, NE 68803-4316

Call (308) 381-0473 Map

Fax (308) 381-2616

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X18143 (NE)

Specialist: 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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About NPI 1003896010

Richard Bruce Koefoot, MD's National Provider Identifier is 1003896010, issued on Jan 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Island, NE. The record was last updated on Jan 28, 2010.