Provider First Line Business Practice Location Address:
601 N 30TH ST
Provider Second Line Business Practice Location Address:
CREIGHTON UNIVERSITY MEDICAL CENTER, SUITE 2300
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68131-2137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-280-4342
Provider Business Practice Location Address Fax Number:
402-280-4584
Provider Enumeration Date:
09/17/2008