Individual
DR. EDWARD ELLIS PEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5608 FARNAM ST, OMAHA, NE 68132-3426
(402) 558-6817
Mailing address
5608 FARNAM ST, OMAHA, NE 68132-3426
(402) 558-6817
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
14096
NE
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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