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Individual

DR. HARRY E MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1386
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13001
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47068731742
NE
05
511311
IA
Enumeration date
08/29/2006
Last updated
11/27/2007
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