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Organization
CENTRAL PLAINS ENT, PC
Active
Organization
CENTRAL PLAINS ENT, PC
Active
Other names
Central Plains ENT & Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS J MOORE MD (PRESIDENT)
(402) 502-6970
Entity
Organization
Contact information
Practice address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930
Mailing address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0561399
—
IA
05
—
11798
—
ND
05
—
6520013
—
SD
Enumeration date
12/13/2006
Last updated
12/02/2008
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