Provider First Line Business Practice Location Address:
110 NORTH 175 STREET, SUITE 1000
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL - URGENT CARE - WEST VILLAGE POINTE
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-955-8300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2009