Individual
DR. JAMES A REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 DODGE ST, SUITE 263, OMAHA, NE 68114-4129
(402) 354-8163
(402) 354-2416
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18448
NE
2086X0206X
Surgical Oncology Physician
18448
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114037439
—
IA
05
—
47068731707
—
NE
Enumeration date
08/30/2006
Last updated
01/03/2014
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