Provider First Line Business Practice Location Address:
44TH AND EMILE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF NEBRASKA MED CENTER DEPT FAMILY MEDICINE
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68102-3075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-559-4000
Provider Business Practice Location Address Fax Number:
402-559-8118
Provider Enumeration Date:
04/03/2007