Organization
FREEDOM MEDICAL OF OMAHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CARTER (ADMINISTRATOR)
(402) 934-8255
Entity
Organization
Contact information
Practice address
17021 LAKESIDE HILLS PLZ, OMAHA, NE 68130-2390
(402) 934-8255
Mailing address
17021 LAKESIDE HILLS PLZ, OMAHA, NE 68130-2390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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