Organization
ALEGENT CREIGHTON CLINIC
Active
Other names
Alegent Health Womens Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN A. CAVANAUGH (COMPLIANCE OFFICER)
(402) 343-4328
Entity
Organization
Contact information
Practice address
800 MERCY DR, SUITE 210, COUNCIL BLUFFS, IA 51503-3128
(712) 323-9250
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
12/28/2012
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