Organization
GREGORY J. MONGEON, DC,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MONGEON DC (OWNER)
(402) 483-4300
Entity
Organization
Contact information
Practice address
2855 S 70TH ST, SUITE 101, LINCOLN, NE 68506-3700
(402) 483-4300
(402) 483-7789
Mailing address
2855 S 70TH ST, SUITE 101, LINCOLN, NE 68506-3700
(402) 483-4300
(402) 483-7789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1558
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025835600
—
NE
Enumeration date
10/10/2007
Last updated
05/25/2010
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