# FREEDOM MEDICAL OF OMAHA

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

## Provider details

- **NPI number:** 1457897308
- **Authorized official:** BRIAN CARTER (ADMINISTRATOR)
- **Authorized official phone:** (402) 934-8255

## Contact information

- **Practice address:** 17021 LAKESIDE HILLS PLZ, OMAHA, NE 68130-2390
- **Practice address phone:** (402) 934-8255
- **Mailing address:** 17021 LAKESIDE HILLS PLZ, OMAHA, NE 68130-2390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017