Individual
DEAN RUSSELL FORGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 S 70TH ST, SUITE 102, LINCOLN, NE 68506-1566
(402) 483-2323
(402) 483-6184
Mailing address
1520 S 70TH ST, SUITE 102, LINCOLN, NE 68506-1566
(402) 483-2323
(402) 483-6184
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17525
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0747401-00
—
NE
Enumeration date
11/05/2006
Last updated
07/08/2007
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