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Individual

MARY A CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7601 PIONEERS BLVD, LINCOLN, NE 68506
(402) 484-6677
(402) 484-4467
Mailing address
7601 PIONEERS BLVD, LINCOLN, NE 68506-4675
(402) 484-6677
(402) 484-4476

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
21267
NE
2085R0202X
Diagnostic Radiology Physician
Primary
21267
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01489
BLUE CROSS BLUE SHIELD
NE
05
0535534
IA
01
05950
BCBS
NE
05
100352160A
KS
01
281799
AMI MEDICARE PIN
NE
01
300104330
RR MEDICARE
NE
05
47078180813
NE
05
7788240
SD
01
NA1330002
SMI MEDICARE PIN
NE
Enumeration date
06/02/2006
Last updated
11/16/2016
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