Organization
PHYSICIANS, INC. ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MOORE (VICE PRESIDENT)
(402) 481-3903
Entity
Organization
Contact information
Practice address
6825 S 27TH ST, LINCOLN, NE 68512-4872
(402) 477-4545
(402) 477-4842
Mailing address
3901 PINE LAKE RD, SUITE 300, LINCOLN, NE 68516-5497
(402) 483-8590
(402) 483-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NE
207R00000X
Internal Medicine Physician
—
NE
207XX0801X
Orthopaedic Trauma Physician
—
NE
2080N0001X
Neonatal-Perinatal Medicine Physician
—
NE
208100000X
Physical Medicine & Rehabilitation Physician
—
NE
2084P0800X
Psychiatry Physician
—
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NE
Other
Enumeration date
12/17/2007
Last updated
08/27/2008
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