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Organization

OMAHA FACIAL PLASTIC SURGERY PC

Active
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Organization

OMAHA FACIAL PLASTIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M HARBISON MD (PRESIDENT)
(816) 665-7768
Entity
Organization

Contact information

Practice address
17838 BURKE ST STE 101, OMAHA, NE 68118-2256
(402) 758-5330
Mailing address
17838 BURKE ST STE 101, OMAHA, NE 68118-2256

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—

Other

Enumeration date
03/14/2017
Last updated
01/13/2021
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