Individual
MARY A CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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