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Individual

DR. PAIGE S CHARLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
717 N 190TH PLZ, STE. 1100, ELKHORN, NE 68022-3917
(402) 815-1700
(402) 815-1959
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(400) 235-4215

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20697
NE
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
20697
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026301600
NE
05
1366555369
IA
05
47069731799
NE
Enumeration date
08/16/2006
Last updated
08/19/2021
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