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Individual

TIMOTHY JOHN GOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6901 N 72 STREET, OMAHA, NE 68122
(402) 572-2160
(402) 334-2849
Mailing address
3749 N 79TH ST, OMAHA, NE 68134
(402) 651-1781
(402) 334-2849

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22312
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0949701
IA
05
470550438-B
NE
Enumeration date
08/25/2006
Last updated
06/14/2017
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