# MR. GENE T OMOTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932149390
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1205 | NE | Yes |
| 363AS0400X | Surgical Physician Assistant | 1205 | NE | — |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 09/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 38642 | BCBS | NE |
| 01 | — | P00353556 | RAILROAD MEDICARE | — |