Individual
DR. MYLES ANTONIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985582 NEBRASKA MEDICAL CTR, CU DEPARTMENT OF PSYCHIATRY, OMAHA, NE 68198-5582
(402) 552-6222
Mailing address
985582 NEBRASKA MEDICAL CTR, CU DEPARTMENT OF PSYCHIATRY, OMAHA, NE 68198-5582
(402) 552-6222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TEP7824
NE
Other
Enumeration date
08/14/2016
Last updated
10/16/2021
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