Organization
PURE HEALTHCARE OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA T TANDY (OWNER)
(801) 787-0731
Entity
Organization
Contact information
Practice address
3125 N 120TH ST, OMAHA, NE 68164-2527
(402) 281-0880
(402) 939-0427
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 590-9267
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
03/17/2023
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