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NPI Code Detail

MEDICARE: MARLON DE ARMAS MEDINA MD

MEDICARE:   MARLON  DE ARMAS MEDINA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician22424PR
22080P0206XPediatric Gastroenterology Physician10009NE

General Provider Information

NPI Number : 1033791397
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLON DE ARMAS MEDINA MD
Provider Business Mailing Address
First Line : 982161 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-2161
Country : US
Telephone Number : 402-559-5700
Fax Number :
Provider Business Practice Location Address
First Line : 982161 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-6013
Country : US
Telephone Number : 402-955-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 06/25/2024

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Directions to “ MARLON DE ARMAS MEDINA MD” Practice Location

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