Individual
PAUL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
984110 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4110
(402) 559-4292
Mailing address
984110 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4110
(402) 559-4292
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9802
NE
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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