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Individual

BRADLEY J VASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 GRUNDMAN BLVD, SUITE A, NEBRASKA CITY, NE 68410-3320
(402) 873-4242
(402) 873-4227
Mailing address
1301 GRUNDMAN BLVD, SUITE A, NEBRASKA CITY, NE 68410-3320
(402) 873-4242
(402) 873-4227

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32225
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00862
BCBS
NE
01
01-06562
UHC
NE
05
10025323000
NE
01
14882
MIDLAND'S CHOICE
NE
05
500279401
MS
05
6167213
IA
Enumeration date
08/03/2006
Last updated
07/31/2015
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