Individual
TAMARA A DOLPHENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4350
(402) 955-4356
Mailing address
1120 PORT ROYAL DR, PAPILLION, NE 68046-8002
(402) 502-0630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1182
NE
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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