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Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699733410

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
Tel: 402-758-5233  Fax: 402-758-5270

Contact information for business:
16929 FRANCES ST STE 204  OMAHA, NE 68130-4683 US
Tel: 402-758-5233  Fax: 402-758-5270

Registration Information:
NPI: 1699733410
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Diagnostic Radiology

Legacy codes, insurance codes and state license numbers:



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