# CENTRAL PLAINS ENT, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Plains ENT & Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245391119
- **Authorized official:** IRIS J MOORE MD (PRESIDENT)
- **Authorized official phone:** (402) 502-6970

## Contact information

- **Practice address:** 8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
- **Practice address phone:** (402) 502-6970
- **Practice address fax:** (402) 502-6930
- **Mailing address:** 8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
- **Mailing address phone:** (402) 502-6970
- **Mailing address fax:** (402) 502-6930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 12/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0561399 | — | IA |
| 05 | — | 11798 | — | ND |
| 05 | — | 6520013 | — | SD |
