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Individual

WILLIAM L HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 MERCY RD, ALEGENT BERGAN MERCY HOSPITAL - DEPT OF RADIOLOGY, OMAHA, NE 68124
(402) 398-6198
Mailing address
PO BOX 4460, OMAHA, NE 68104
(866) 491-5807
(913) 491-0411

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15369
NE
2085R0202X
Diagnostic Radiology Physician
22924
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04133
NEBRASKA BCBS
01
1045
MIDLANDS
01
15369
NE LICENSE #
05
1954719
IA
01
21011
IOWA BCBS
01
22924
IA LICENSE #
05
3992354
IA
05
6992354
IA
05
7992354
IA
05
8992354
IA
05
9992354
IA
01
BH6960947
IA CONTROLLED SUBSTANCE
Enumeration date
06/21/2006
Last updated
03/07/2023
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