Organization
CREIGHTON UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T FROCK MD (NEPHROLOGIST)
(402) 341-3141
Entity
Organization
Contact information
Practice address
3316 DODGE ST, OMAHA, NE 68131-3403
(402) 341-3141
Mailing address
3316 DODGE ST, OMAHA, NE 68131-3403
(402) 341-3141
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16833
NE
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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