Organization
MIRACLE HILLS PRIMARY CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMAN L ALI MD (PRESIDENT)
(402) 905-2075
Entity
Organization
Contact information
Practice address
11819 MIRACLE HILLS DR STE 105, OMAHA, NE 68154-4428
(402) 905-2075
(402) 905-9864
Mailing address
11819 MIRACLE HILLS DR STE 105, OMAHA, NE 68154-4428
(402) 905-2075
(402) 905-9864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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