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Organization
METHODIST ENDOSCOPY CENTER LLC
Active
Organization
METHODIST ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRON A. ALLI M.D. (OWNER AND MANAGER)
(402) 397-7057
Entity
Organization
Contact information
Practice address
515 NORTH 162 AVENUE, SUITE 201, OMAHA, NE 68118-2540
(402) 505-8708
(402) 505-8748
Mailing address
515 NORTH 162 AVENUE, SUITE 201, OMAHA, NE 68118-2540
(402) 505-8708
(402) 505-8748
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
NE
Other
Enumeration date
02/01/2010
Last updated
02/13/2010
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