# ADULT & PEDIATRIC UROLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356387831
- **Authorized official:** DR. REBECCA J MCCRERY MD (PRESIDENT)
- **Authorized official phone:** (402) 397-7989

## Contact information

- **Practice address:** 10707 PACIFIC ST STE 101, OMAHA, NE 68114-4762
- **Practice address phone:** (402) 397-7989
- **Practice address fax:** (402) 397-8703
- **Mailing address:** PO BOX 8577, OMAHA, NE 68108-0577
- **Mailing address phone:** (402) 397-7989
- **Mailing address fax:** (402) 393-7554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 01/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0424739 | — | IA |