Organization
ADVANCED ENT
Active
Other names
Mark Frey MD
Organization subpart
No
Provider details
NPI number
Authorized official
JERI DIGILIO-WERNER (OFFICE MANAGER)
(402) 621-6486
Entity
Organization
Contact information
Practice address
401 E GOLD COAST RD STE 331, PAPILLION, NE 68046-4194
(402) 292-9800
(402) 292-2550
Mailing address
401 E GOLD COAST RD STE 331, PAPILLION, NE 68046-4194
(402) 292-9800
(402) 292-2550
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0588731
—
IA
05
—
10025184900
—
NE
01
—
1336116797
NPI
—
Enumeration date
10/20/2006
Last updated
08/07/2023
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