Organization
CREIGHTON UNIVERSITY
Active
Other names
Creighton Surgical Oral Pathology Service
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C EDWARDS DDS (DIRECTOR)
(402) 280-5020
Entity
Organization
Contact information
Practice address
2500 CALIFORNIA PLZ, SCHOOL OF DENTISTRY, OMAHA, NE 68178-0001
(402) 280-5020
(402) 280-5094
Mailing address
2500 CALIFORNIA PLZ, SCHOOL OF DENTISTRY, OMAHA, NE 68178-0001
(402) 280-5020
(402) 280-5094
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05338
BCBS
—
Enumeration date
08/29/2005
Last updated
08/22/2020
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