Organization · Type 2 NPI
Aesthetic & Reconstructive Surgery PC
Specialist · Omaha, NE
NPI number
1104145077
Active
Practice location
2727 S 144th St Ste 205
Omaha, NE 68144-5230
Fax (402) 778-5550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 11216 (NE) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104145077
Aesthetic & Reconstructive Surgery PC's National Provider Identifier is 1104145077, issued on May 18, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Omaha, NE. The record was last updated on May 18, 2010.