Individual
DR. DOROTA BRILZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-0610
(402) 354-0611
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21535
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265412233
—
IA
05
—
47068731785
—
NE
05
—
47081007300
—
NE
05
—
5227074
—
IA
Enumeration date
01/18/2006
Last updated
10/31/2019
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