Provider First Line Business Practice Location Address:
CHILDREN'S HOSPITAL & MEDICAL CENTER
Provider Second Line Business Practice Location Address:
8200 DODGE STREET
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-955-4495
Provider Business Practice Location Address Fax Number:
402-955-5362
Provider Enumeration Date:
05/29/2014