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Organization
SUBURBAN WEST MEDICAL, P.C.
Active
Organization
SUBURBAN WEST MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE F MCNAMARA M.D. (PRESIDENT)
(402) 397-2205
Entity
Organization
Contact information
Practice address
2722 S 87TH ST, OMAHA, NE 68124-3039
(402) 397-2205
(402) 397-0901
Mailing address
2722 S 87TH ST, OMAHA, NE 68124-3039
(402) 397-2205
(402) 397-0901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10221
NE
207V00000X
Obstetrics & Gynecology Physician
10221
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508325948
—
NE
Enumeration date
01/21/2010
Last updated
01/21/2010
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