Provider First Line Business Practice Location Address:
989375 NEBRASKA MEDICAL CTR
Provider Second Line Business Practice Location Address:
DOC 3615
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68198-9375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-559-6100
Provider Business Practice Location Address Fax Number:
402-559-9607
Provider Enumeration Date:
07/06/2007