Organization
COLUMBUS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER E DIEDRICHSEN M.D. (OWNER/ GOVERNING BODY)
(402) 562-8795
Entity
Organization
Contact information
Practice address
3772 43RD AVENUE, SUITE B, COLUMBUS, NE 68601
(402) 562-8795
(402) 563-2765
Mailing address
3772 43RD AVENUE, SUITE B, COLUMBUS, NE 68601
(402) 562-8795
(402) 563-2765
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025549900
—
NE
Enumeration date
09/05/2006
Last updated
10/03/2007
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