# SUBURBAN WEST MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083945646
- **Authorized official:** DR. LEE F MCNAMARA M.D. (PRESIDENT)
- **Authorized official phone:** (402) 397-2205

## Contact information

- **Practice address:** 2722 S 87TH ST, OMAHA, NE 68124-3039
- **Practice address phone:** (402) 397-2205
- **Practice address fax:** (402) 397-0901
- **Mailing address:** 2722 S 87TH ST, OMAHA, NE 68124-3039
- **Mailing address phone:** (402) 397-2205
- **Mailing address fax:** (402) 397-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10221 | NE | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 10221 | NE | — |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 01/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 508325948 | — | NE |
