Organization
BRUCE H BRUMM MD PC
Active
Other names
Brumm Optical Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L WEAVER (ADMINISTRATOR)
(402) 572-2020
Entity
Organization
Contact information
Practice address
17001 LAKESIDE HILLS PLZ, SUITE 101, OMAHA, NE 68130-4670
(402) 934-7700
(402) 934-2555
Mailing address
6751 N 72ND ST, OMAHA, NE 68122-1746
(402) 572-2020
(402) 572-2150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
—
Other
Enumeration date
08/13/2006
Last updated
04/17/2008
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