Provider Demographics
NPI:1548263460
Name:RICE, DONALD TROY (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:TROY
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 67250
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7250
Mailing Address - Country:US
Mailing Address - Phone:402-413-6706
Mailing Address - Fax:
Practice Address - Street 1:4210 PIONEER WOODS DR
Practice Address - Street 2:STE A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7557
Practice Address - Country:US
Practice Address - Phone:402-488-4321
Practice Address - Fax:402-488-4355
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEG20088207Q00000X
IDM-11298207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEG29568Medicare UPIN