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Organization
ALEGENT CREIGHTON CLINIC
Active
Organization
ALEGENT CREIGHTON CLINIC
Active
Other names
Alegent Health Womens Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN A. CAVANAUGH (COMPLIANCE OFFICER)
(402) 343-4328
Entity
Organization
Contact information
Practice address
800 MERCY DR, SUITE 210, COUNCIL BLUFFS, IA 51503-3128
(712) 323-9250
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
12/28/2012
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