Provider First Line Business Practice Location Address:
984185 NEBRASKA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SPECIALTY SERVICE PAVILLION
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68198-4185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-325-0064
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2008