Provider First Line Business Practice Location Address:
987400 NEBRASKA MEDICAL CTR FL 7
Provider Second Line Business Practice Location Address:
7TH FLOOR UH (7PSY)
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68198-7400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-552-2040
Provider Business Practice Location Address Fax Number:
402-552-2152
Provider Enumeration Date:
12/01/2006