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Organization
ADULT & PEDIATRIC UROLOGY, PC
Active
Organization
ADULT & PEDIATRIC UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA J MCCRERY MD (PRESIDENT)
(402) 397-7989
Entity
Organization
Contact information
Practice address
10707 PACIFIC ST STE 101, OMAHA, NE 68114-4762
(402) 397-7989
(402) 397-8703
Mailing address
PO BOX 8577, OMAHA, NE 68108-0577
(402) 397-7989
(402) 393-7554
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424739
—
IA
Enumeration date
06/21/2006
Last updated
01/23/2024
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