Individual
BRADLEY JAMES PLOUZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4590
Mailing address
PO BOX 3366-0210, OMAHA, NE 68176-0001
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NE
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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