Organization
OMAHA NEPHROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C GOLDNER MD (AUTHORIZED OFFICIAL)
(402) 502-2747
Entity
Organization
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0993865
—
IA
01
—
CD3083
RAILROAD MEDICARE
NE
Enumeration date
10/05/2006
Last updated
04/10/2019
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