Individual
ABBIE K RAY-DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17500 BURKE ST, OMAHA, NE 68118-2244
(402) 354-2360
(402) 354-2440
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26301
NE
208M00000X
Hospitalist Physician
Primary
26301
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003078528
—
IA
05
—
470687317-16
—
NE
Enumeration date
06/26/2008
Last updated
10/18/2019
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