Individual
JAMES DAVID IMBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7710 MERCY RD, SUITE 309, OMAHA, NE 68124-2372
(402) 399-9313
(402) 399-9314
Mailing address
7710 MERCY RD, SUITE 309, OMAHA, NE 68124-2372
(402) 399-9313
(402) 399-9314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13591
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00587
BCBS NEBRASKA
NE
05
—
42-1158718-00
—
NE
Enumeration date
09/30/2006
Last updated
07/08/2007
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