Organization
MIDWEST FAMILY PHYSICIANS. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M RYAN (ADMINISTRATOR)
(402) 498-0380
Entity
Organization
Contact information
Practice address
14450 EAGLE RUN DR, SUITE 104, OMAHA, NE 68116-1493
(402) 498-0380
(402) 498-0355
Mailing address
14450 EAGLE RUN DR, SUITE 104, OMAHA, NE 68116-1493
(402) 498-0380
(402) 498-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NE
Other
Enumeration date
07/18/2006
Last updated
04/10/2008
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