Individual
WALTER D BUSSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-4424
(402) 559-6913
Mailing address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-4424
(402) 559-6913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1031
NE
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026059800
—
NE
Enumeration date
10/04/2006
Last updated
09/28/2012
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