Individual
SAW EH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7905 N 85TH ST, OMAHA, NE 68122-1290
(402) 810-5411
Mailing address
3031 N 93RD ST, OMAHA, NE 68134-4715
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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