Individual
TA THAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6024 WHITMORE ST, OMAHA, NE 68152-2249
(402) 968-7807
Mailing address
6024 WHITMORE ST, OMAHA, NE 68152-2249
(402) 968-7807
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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