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Individual

ALAN M PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
16909 LAKESIDE HILLS CT, SUITE 300, OMAHA, NE 68130-4664
(402) 827-4920
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
58.001557
OH
208600000X
Surgery Physician
Primary
676
NE

Other

Enumeration date
05/13/2007
Last updated
08/23/2011
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