Provider First Line Business Practice Location Address:
645 OSAGE ST
Provider Second Line Business Practice Location Address:
SIDNEY REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
SIDNEY
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69162-1714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-254-5825
Provider Business Practice Location Address Fax Number:
308-254-7258
Provider Enumeration Date:
04/01/2014