Individual
MARK DOUGLAS KEIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-1045
(402) 559-1010
(402) 559-1011
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
26397
NE
2085R0202X
Diagnostic Radiology Physician
25156
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389652
—
AZ
Enumeration date
10/20/2005
Last updated
11/23/2016
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