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Individual

STACIE A GILROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
249 OLSON DRIVE, SUITE 111, PAPILLION, NE 68046-2974
(402) 991-2200
(402) 991-2242
Mailing address
249 OLSON DRIVE, SUITE 111, PAPILLION, NE 68046-2974
(402) 991-2200
(402) 991-2242

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
726
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
470834610
TAX IDENIFICATION NUMBER
Enumeration date
07/01/2006
Last updated
03/07/2023
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