Organization
ALEGENT CREIGHTON HEALTH
Active
Other names
Alegent Creighton Health West Omaha Imaging IDTF
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BRICKER (CEO)
(541) 610-8147
Entity
Organization
Contact information
Practice address
17201 WRIGHT ST STE 100, OMAHA, NE 68130-2042
(402) 717-4760
Mailing address
PO BOX 772650, CHICAGO, IL 60677-0001
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
12/09/2024
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