Individual
REBECCA J SIECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8200 DODGE STREET, CHILDREN'S HOSPITAL - CARDIOTHORACIC SURGERY, OMAHA, NE 68114-4113
(402) 955-4360
(402) 955-4364
Mailing address
8200 DODGE STREET, CHILDREN'S HOSPITAL, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1378
NE
Other
Enumeration date
02/14/2008
Last updated
11/24/2009
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