Individual provider · NPI-1

Amard Abcejo, DO

Family Medicine, Sports Medicine · Omaha, NE

NPI number1134571862

StatusActive

Last updated in NPPESDec 28, 2020

Details

NPI: 1134571862
Entity type: Individual (NPI-1)
Name: Amard Abcejo
Credential: DO
Sex: Male
Sole proprietor: No
Enumeration date: Jul 6, 2016
Certification date: Dec 28, 2020
Last updated: Dec 28, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QS0010X	Family Medicine, Sports Medicine	2256	NE	Yes
207Q00000X	Family Medicine	R10702	IA
207Q00000X	Family Medicine	DO-05199	IA
207QS0010X	Family Medicine, Sports Medicine	DO-05199	IA
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

2725 S 144th St Ste 212
Omaha, NE 68144-5253

Phone 402-637-0800 · Fax 402-637-0808

Mailing address

2725 S 144th St Ste 212
Omaha, NE 68144-5253

Phone 402-637-0800 · Fax 402-637-0808

Other practice locations

800 E 1st St Ste 1700
Ankeny, IA 50021-2100

Phone 515-643-8100 · Fax 515-643-8139

4301 Broadway St
San Antonio, TX 78209-6318

Phone 210-619-7105

7615 Kennedy Hl Bldg 1
San Antonio, TX 78235-4438

Phone 210-619-7105

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