Individual
DARIN J MONGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
575 S 70TH ST, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Mailing address
575 S 70TH ST, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
859
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47061995513
—
NE
05
—
47070309913
—
NE
Enumeration date
12/06/2005
Last updated
03/09/2015
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