Individual provider · Type 1 NPI
Barry L. Fanders, MD
Diagnostic Radiology Physician · Omaha, NE
NPI number
1245300565
Active
Practice location
6901 N 72nd St, Alegent Immanuel Hospital Dept Of Radiology
Omaha, NE 68122-1709
Mailing address
PO Box 4460
Omaha, NE 68104-0460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 17419 (NE) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1245300565
Barry L. Fanders, MD's National Provider Identifier is 1245300565, issued on Nov 8, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Omaha, NE. The record was last updated on Feb 1, 2010.