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Individual

BRIAN BARRY NICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
987424 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-7424
(402) 552-2975
Mailing address
1308 N 112TH CT, APT. # 6303, OMAHA, NE 68154-5896
(402) 250-4050

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1486
NE

Other

Enumeration date
02/01/2010
Last updated
12/09/2011
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