Individual
DR. SCOTT M DEBATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 N 162ND AVENNUE, STE. 302, OMAHA, NE 68118
(402) 354-0621
(402) 354-0611
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22452
NE
207ND0101X
MOHS-Micrographic Surgery Physician
22452
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002571500
—
NE
05
—
1154435691
—
IA
05
—
47068731785
—
NE
Enumeration date
08/19/2006
Last updated
01/03/2014
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