Provider First Line Business Practice Location Address:
UNIVERSITY OF NEBRASKA AT OMAHA
Provider Second Line Business Practice Location Address:
6001 DODGE STREET FH 24
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68182-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-554-2774
Provider Business Practice Location Address Fax Number:
402-554-4971
Provider Enumeration Date:
02/09/2006