Basic Information
Provider Information
NPI: 1548263460
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RICE
FirstName: DONALD
MiddleName: TROY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 67250
Address2:  
City: LINCOLN
State: NE
PostalCode: 685067250
CountryCode: US
TelephoneNumber: 4024136706
FaxNumber:  
Practice Location
Address1: 4210 PIONEER WOODS DR
Address2: STE A
City: LINCOLN
State: NE
PostalCode: 685067557
CountryCode: US
TelephoneNumber: 4024884321
FaxNumber: 4024884355
Other Information
ProviderEnumerationDate: 05/24/2005
LastUpdateDate: 04/07/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XG20088NEY Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XM-11298IDN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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