Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 16806 | NE |
NPI | 1023027596 |
---|---|
Provider Name | Dr. Vincent Gene Bjorling |
First Address | Scottsbluff, NE 69361-4617 |
Second Address | Scottsbluff, NE 69361-4617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 06/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B90870 | (02) | NE |