Priscilla M. Correa, M.d., A Professional Corporation | |
4828 S 24th St Omaha NE 68107-2703 | |
(402) 731-9100 | |
(402) 731-1297 |
Full Name | Priscilla M. Correa, M.d., A Professional Corporation |
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Speciality | Family Medicine |
Location | 4828 S 24th St, Omaha, Nebraska |
Authorized Official Name and Position | Priscilla M Correa (PRESIDENT) |
Authorized Official Contact | 4027319100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Priscilla M. Correa, M.d., A Professional Corporation 4828 S 24th St Omaha NE 68107-2703 Ph: (402) 731-9100 | Priscilla M. Correa, M.d., A Professional Corporation 4828 S 24th St Omaha NE 68107-2703 Ph: (402) 731-9100 |
NPI Number | 1972948545 |
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Provider Enumeration Date | 05/08/2013 |
Last Update Date | 05/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972948545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18633 (Nebraska) | Primary |
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