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Organization

BRYAN HEALTH CONNECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK DWAINE GANYO (PRESIDENT & EXECUTIVE DIRECTOR)
(402) 483-8893
Entity
Organization

Contact information

Practice address
2300 S 16TH STREET, LINCOLN, NE 68502
(402) 483-8891
(402) 483-8896
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 483-8891
(402) 483-8896

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
08/02/2017
Last updated
07/21/2022
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