Individual
ALAN GLEN THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 NICHOLAS ST, SUITE 100, OMAHA, NE 68114-2186
(402) 343-1122
(402) 343-1177
Mailing address
9850 NICHOLAS ST, SUITE 100, OMAHA, NE 68114-2186
(402) 343-1122
(402) 343-1177
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
15617
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47053395014
—
NE
Enumeration date
07/07/2005
Last updated
01/24/2012
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