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Organization
OMAHA FACIAL PLASTIC SURGERY PC
Active
Organization
OMAHA FACIAL PLASTIC SURGERY PC
Active
Other names
Omaha Face
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HARBISON (PRACTICE ADMINISTRATOR)
(402) 882-7722
Entity
Organization
Contact information
Practice address
17838 BURKE ST STE 101, OMAHA, NE 68118-2256
(402) 882-7722
(402) 739-8146
Mailing address
17838 BURKE ST STE 101, OMAHA, NE 68118-2256
(402) 882-7722
(402) 739-8146
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
NULL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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