Individual
DR. MARIO EDWARD BACCARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9475 PAULINE ST, OMAHA, NE 68124-3838
(402) 397-6145
Mailing address
9475 PAULINE ST, OMAHA, NE 68124-3838
(402) 397-6145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11483
NE
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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