Organization
GATEWAY DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BIGLER M.D. (PRESIDENT)
(402) 467-4361
Entity
Organization
Contact information
Practice address
600 N COTNER BLVD, SUITE 311, LINCOLN, NE 68505-2343
(402) 467-4361
(402) 467-1864
Mailing address
600 N COTNER BLVD, SUITE 311, LINCOLN, NE 68505-2343
(402) 467-4361
(402) 467-1864
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025726100
—
NE
01
—
B90846
UPIN
NE
01
—
NA1288001
MEDICARE
NE
Enumeration date
12/12/2008
Last updated
07/01/2010
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