Individual
TIMOTHY VILLAREAL CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
981225 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1225
(402) 559-5208
Mailing address
981225 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-0001
(402) 559-5208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
10068
NE
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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