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THOMAS MASTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
17931 PIERCE PLZ, OMAHA, NE 68130-2654
(402) 933-1393
(402) 933-1899
Mailing address
17931 PIERCE PLZ, OMAHA, NE 68130-2654
(402) 933-1393
(402) 933-1899

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003241
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16982594
PERSONAL-UNIQUE
NE
Enumeration date
04/18/2011
Last updated
06/10/2011
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