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Organization
GBGH
Active
Organization
GBGH
Active
Other names
Nebraska Neuropathy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MEURET (OWNER)
(636) 600-1137
Entity
Organization
Contact information
Practice address
12309 GOLD STREET, OMAHA, NE 68144-2760
(402) 330-1176
(402) 939-0410
Mailing address
12309 GOLD STREET, OMAHA, NE 68144-2760
(402) 330-1176
(402) 939-0410
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295937423
—
MO
Enumeration date
06/17/2010
Last updated
01/18/2012
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