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Individual

DR. GREGORY EAKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8111 DODGE ST, SUITE 263, OMAHA, NE 68114-4129
(402) 354-8163
(402) 354-2416
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17237
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528173671
IA
05
47068731707
NE
Enumeration date
08/20/2006
Last updated
01/03/2014
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