Organization
BELLEVUE OBSTETRICS AND GYNECOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WOODS M.D. (OWNER)
(402) 734-4106
Entity
Organization
Contact information
Practice address
11507 S 42ND ST, SUITE 109, BELLEVUE, NE 68123-6122
(402) 734-4106
(402) 734-0366
Mailing address
11507 S 42ND ST, SUITE 109, BELLEVUE, NE 68123-6122
(402) 734-4106
(402) 734-0366
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059832
—
IA
01
—
DG5144
MEDICARE RR
—
Enumeration date
06/15/2006
Last updated
08/17/2018
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