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NPI Code Detail

MEDICARE: DR. ERIC JOHN VALLIN

MEDICARE: DR. ERIC JOHN VALLIN
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
1207L00000XAnesthesiology Physician10660NE

General Provider Information

NPI Number : 1558297770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC JOHN VALLIN
Provider Business Mailing Address
First Line : 984455 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-4455
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 984455 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-4455
Country : US
Telephone Number : 402-559-4081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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