# PHYSICIANS CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MPC COLONOSCOPY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720606932
- **Authorized official:** TODD GRAGES (PRESIDENT)
- **Authorized official phone:** (402) 354-5451

## Contact information

- **Practice address:** 9850 NICHOLAS ST STE 100, OMAHA, NE 68114-2191
- **Practice address phone:** (402) 343-1122
- **Practice address fax:** (402) 343-1177
- **Mailing address:** 825 S 169TH ST, OMAHA, NE 68118-9300
- **Mailing address phone:** (402) 354-5451
- **Mailing address fax:** (402) 354-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 07/14/2020