Organization
HEART SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD L. HANSEN (CHIEF OPERATING OFFICER)
(402) 354-3778
Entity
Organization
Contact information
Practice address
1120 NORTH 103RD PLAZA, SUITE 100, OMAHA, NE 68114-1119
(402) 391-5055
Mailing address
8601 W DODGE RD, SUITE 216, OMAHA, NE 68114-3495
(402) 354-4822
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/03/2010
Last updated
12/21/2010
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