Organization
CSJ PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. SCOTT RICHARDSON (SVP, OPS FINANCE & PMO, TENET)
(469) 893-6960
Entity
Organization
Contact information
Practice address
3213 S 24TH ST, OMAHA, NE 68108-1832
(402) 509-8410
(402) 346-9448
Mailing address
3213 S 24TH ST, OMAHA, NE 68108-1832
(402) 509-8410
(402) 346-9448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NE
207R00000X
Internal Medicine Physician
Primary
—
NE
Other
Enumeration date
08/17/2010
Last updated
05/26/2016
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