Individual
ELIJAH TYLER FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
42ND AND EMILE, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
8922 BUCKSHOT RD, LINCOLN, NE 68507-1196
(402) 937-3003
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3080
NE
Other
Enumeration date
07/14/2022
Last updated
02/09/2024
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