Individual
DR. DENISE M DRVOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14000 BOYS TOWN HOSPITAL RD, BOYS TOWN, NE 68010-7513
(531) 355-6000
Mailing address
3330 N 129TH CIR, OMAHA, NE 68164-4238
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
17523
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2977157
—
IA
01
—
30054
BCBS
NE
01
—
652
MIDLANDS CHOICE
—
Enumeration date
11/24/2006
Last updated
07/10/2020
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