Provider First Line Business Practice Location Address:
1819 FARNAM ST
Provider Second Line Business Practice Location Address:
ALEGENT CREIGHTON HEALTH CLINIC
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68183-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-717-0710
Provider Business Practice Location Address Fax Number:
402-717-0711
Provider Enumeration Date:
08/05/2010