Healthcare Provider Details

I. General information

NPI: 1881049708
Provider Name (Legal Business Name): DUNDEE PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 04/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5018 UNDERWOOD AVE SUITE 200
OMAHA NE
68132-2236
US

IV. Provider business mailing address

5018 UNDERWOOD AVE SUITE 200
OMAHA NE
68132-2236
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-5678
  • Fax:
Mailing address:
  • Phone: 402-991-5678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNE

VIII. Authorized Official

Name: KIM SAVE
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 402-573-7337