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Organization
MEDICAL ANESTHESIA ASSOCIATES PC
Active
Organization
MEDICAL ANESTHESIA ASSOCIATES PC
Active
Other names
South Omaha Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
PAM SMITH (OFFICE MANAGER)
(712) 322-5565
Entity
Organization
Contact information
Practice address
3213 S 24TH ST, SUITE 101B, OMAHA, NE 68108-1832
(402) 502-7045
(712) 322-5566
Mailing address
PO BOX 1988, COUNCIL BLUFFS, IA 51502-1988
(712) 322-5565
(712) 322-5566
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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