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Individual

ROY L MAURER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA - C

Contact information

Practice address
4740 A ST, SUITE 100, LINCOLN, NE 68510-4822
(402) 483-7825
(402) 483-7839
Mailing address
4740 A ST, SUITE 100, LINCOLN, NE 68510-4822
(402) 483-7825
(402) 483-7839

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
963
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47059807113
NE
Enumeration date
07/10/2006
Last updated
11/12/2024
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