Organization · NPI-2

Adult Medicine Specialists PC

Internal Medicine · Omaha, NE

NPI number1578636254
StatusActive
Last updated in NPPESAug 16, 2013

Details

NPI
1578636254
Entity type
Organization (NPI-2)
Legal business name
Adult Medicine Specialists PC
Organization subpart
No
Enumeration date
Nov 17, 2006
Last updated
Aug 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
363A00000X Physician Assistant––

Practice location

10020 Nicholas St Ste 202
Omaha, NE 68114-2188

Phone 402-991-0137 · Fax 402-991-0236

Mailing address

10020 Nicholas St Ste 202
Omaha, NE 68114-2188

Phone 402-991-0137 · Fax 402-991-0236

Authorized official

Douglas A Russell
President
4029910137

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