# NEBRASKA SURGICAL ANESTHESIA SERVICES LLC

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

## Provider details

- **NPI number:** 1588913180
- **Authorized official:** MR. ANDREW R. RIBAUDO (PRESIDENT)
- **Authorized official phone:** (404) 446-1417

## Contact information

- **Practice address:** 11819 MIRACLE HILLS DRIVE, SUITE 201, OMAHA, NE 68154-5308
- **Practice address phone:** (800) 835-9102
- **Practice address fax:** (706) 650-1034
- **Mailing address:** PO BOX 935566, ATLANTA, GA 31193-5566
- **Mailing address phone:** (636) 938-6868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 04/05/2016