is a Diagnostic Radiology in Omaha, Nebraska. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1871750729. The last update date is .
's current location address is Po Box 30075, Omaha, Nebraska. You can contact this provider via phone number 8166915201 and fax number 8163467063. The mailing address for is Po Box 30075, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 30075, Omaha, Nebraska |
| Phone Number | 8166915201 |
| Fax Number | 8163467063 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871750729 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 30075 |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681031175 |
| Phone Number | 8166915201 |
| Fax Number | 8163467063 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2017022191 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100262773-00 | NE | -- | |
| 100262777-00 | NE | -- | |
| 1871750729 | KS | BCBS | |
| 1871750729 | SD | -- | |
| P01507423 | KS | RAILROAD MEDICARE- RIA KS | |
| 100262774-00 | NE | -- | |
| 820076 | AZ | -- | |
| 1871750729 | IA | -- | |
| 1871750729 | WY | -- | |
| P01684145 | KS | RR MEDICARE |
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