Individual
WILLIAM C DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6829 N 72ND ST, SUITE 3100, OMAHA, NE 68122-1723
(402) 572-3900
(402) 572-3238
Mailing address
6829 N 72ND ST, SUITE 3100, OMAHA, NE 68122-1723
(402) 257-2390
(402) 572-3238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26891
NE
207Q00000X
Family Medicine Physician
39715
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684459
MEDICARE PTAN #
NE
05
—
098684459
—
NE
05
—
1144541335
—
IA
Enumeration date
06/22/2010
Last updated
01/28/2014
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