Individual
ANGEL MIRONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4540
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0133
(402) 449-4540
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
196
NE
Other
Enumeration date
03/24/2008
Last updated
07/28/2008
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