# DANIEL J GROSS PC

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

## Provider details

- **NPI number:** 1497246573
- **Authorized official:** DR. DANIEL J GROSS MD (PRESIDENT/OWNER)
- **Authorized official phone:** (402) 999-2329

## Contact information

- **Practice address:** 1501 JACKSON ST STE 100, OMAHA, NE 68102-3146
- **Practice address phone:** (402) 999-2329
- **Practice address fax:** (402) 915-0095
- **Mailing address:** 1501 JACKSON ST STE 100, OMAHA, NE 68102-3146
- **Mailing address phone:** (402) 999-2329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 29103 | NE | Yes |

## Other

- **Enumeration date:** 05/23/2018
- **Last updated:** 10/29/2018