Individual
ERIC KEONI MAGLIULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(024) 502-2747
(402) 502-2387
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(024) 502-2747
(402) 502-2387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8628
NE
207RN0300X
Nephrology Physician
Primary
36286
NE
207RN0300X
Nephrology Physician
MD-53112
IA
Other
Enumeration date
07/07/2019
Last updated
08/06/2024
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