Individual
DR. RYAN ALLEN DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4344
Mailing address
7701 PACIFIC ST, SUITE 117, OMAHA, NE 68114-5480
(402) 238-1539
(402) 397-5265
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26171
NE
390200000X
Student in an Organized Health Care Education/Training Program
4301085342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497872576
—
IA
05
—
1497872576
—
MO
05
—
47052676314
—
NE
Enumeration date
03/23/2007
Last updated
09/07/2011
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