Organization
NEBRASKA SPINE CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD RANDAL WOODWARD MD (PRESIDENT)
(402) 496-0404
Entity
Organization
Contact information
Practice address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
(402) 496-0517
Mailing address
13616 CALIFORNIA STREET, SUITE 100, OMAHA, NE 68154-5336
(402) 496-0404
(402) 496-0517
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
14918
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525915
IOWA MEDICAID
NE
01
—
CN7071
RAILROAD MEDICARE
NE
Enumeration date
05/31/2005
Last updated
12/19/2011
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