Provider First Line Business Practice Location Address:
1336 W A STE A
Provider Second Line Business Practice Location Address:
CODDINGTON MEDICAL FAMILY PRACTICE
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68522-1231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-438-0101
Provider Business Practice Location Address Fax Number:
402-817-1245
Provider Enumeration Date:
11/11/2005