Individual provider · Type 1 NPI

Mallory Leigh Pottebaum, PA-C

Physician Assistant · Omaha, NE

NPI number 1487950945 Active

Practice location

505 S. 45th St
Omaha, NE 68198-0001

Call (402) 559-5600 Map

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1997 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487950945

Mallory Leigh Pottebaum, PA-C's National Provider Identifier is 1487950945, issued on Feb 1, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 25, 2019.