OMAHA FACIAL PLASTIC SURGERY PC NPI 1922642412

NPI Information

OMAHA FACIAL PLASTIC SURGERY PC is an ambulatory surgical clinic center in Omaha, NE. OMAHA FACIAL PLASTIC SURGERY PC NPI is 1922642412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17838 BURKE ST STE 101
OMAHA, NE
ZIP 68118-256
Phone: (402) 882-7722
Fax: (402) 739-8146

The provider's authorized official is Ashley Harbison .
The authorized official title is Practice Administrator and has the following contact phone number (402) 882-7722.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 10/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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