Individual
DWIGHT JAMES BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4840 F ST, OMAHA, NE 68117-1407
(402) 731-4145
(402) 731-8653
Mailing address
10251 WASHINGTON DR, OMAHA, NE 68127-4523
(402) 593-0364
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17841
NE
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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