Individual
PETER A. ABASOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4540
(402) 354-4535
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29246
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
8919344-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609181387
—
IA
05
—
47037660422
—
NE
Enumeration date
08/18/2010
Last updated
07/27/2016
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