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Organization
UNMC PHYSICIANS
Active
Organization
UNMC PHYSICIANS
Active
Other names
Village Pointe Aesthetic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DAUBERT (CHIEF FINANCIAL OFFICER)
(402) 552-3739
Entity
Organization
Contact information
Practice address
17617 BURKE ST, OMAHA, NE 68118-2259
(402) 596-4025
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 552-3739
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569004
—
IA
05
—
0578393
—
IA
05
—
0978403
—
IA
Enumeration date
11/05/2008
Last updated
06/10/2021
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