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NPI Code Detail

MEDICARE: OMAHA EMERGENCY PHYSICIANS PC

MEDICARE: OMAHA EMERGENCY PHYSICIANS PC
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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianNE

General Provider Information

NPI Number : 1023002771
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMAHA EMERGENCY PHYSICIANS PC
Provider Business Mailing Address
First Line : PO BOX 3366-0210
Second Line :
City : OMAHA
State : NE
Zip : 68176-0001
Country : US
Telephone Number : 866-321-8433
Fax Number :
Provider Business Practice Location Address
First Line : 601 N 30TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2137
Country : US
Telephone Number : 402-449-4590
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WESLEY GRIGSBY
Credential : MD
Telephone Number : 402-449-4590
Provider Enumeration Date : 09/08/2005
Last Update Date : 08/22/2020

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Directions to “OMAHA EMERGENCY PHYSICIANS PC ” Practice Location

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