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Individual

DR. AMANDA M VOTRUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
717 N 190TH PLZ, STE. 3100, ELKHORN, NE 68022-3913
(402) 815-1325
(402) 815-1965
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23143
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025837400
NE
05
1497866883
IA
05
47068731742
NE
Enumeration date
08/31/2006
Last updated
06/05/2015
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