Individual
OMAR F JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 W 42ND ST STE 2100, RWPC NEUROSURGERY, SCOTTSBLUFF, NE 69361-4669
(308) 630-1947
(308) 630-1439
Mailing address
2 W 42ND ST STE 2100, RWPC - NEUROSURGERY, SCOTTSBLUFF, NE 69361-4669
(308) 630-1947
(308) 630-1439
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24111
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025698000
—
NE
Enumeration date
07/04/2006
Last updated
04/18/2011
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