Organization
METHODIST ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRON A. ALLI M.D. (OWNER AND MANAGER)
(402) 397-7057
Entity
Organization
Contact information
Practice address
515 NORTH 162 AVENUE, SUITE 201, OMAHA, NE 68118-2540
(402) 505-8708
(402) 505-8748
Mailing address
515 NORTH 162 AVENUE, SUITE 201, OMAHA, NE 68118-2540
(402) 505-8708
(402) 505-8748
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
NE
Other
Enumeration date
02/01/2010
Last updated
02/13/2010
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