Individual
EDWARD MCDERMOTT MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10707 PACIFIC STREETT, SUITE 205, OMAHA, NE 68114-4762
(402) 399-8055
(402) 399-8005
Mailing address
10707 PACIFIC ST, SUITE 205, OMAHA, NE 68114-4762
(402) 399-8055
(402) 399-8005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20457
NE
207W00000X
Ophthalmology Physician
32762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47062838702
—
NE
Enumeration date
04/19/2006
Last updated
02/17/2014
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