Individual
JAMES A CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 GALVIN RD S STE G, BELLEVUE, NE 68005-3000
(402) 292-1072
(402) 292-0742
Mailing address
1103 GALVIN RD S STE G, BELLEVUE, NE 68005-3000
(402) 292-1072
(402) 292-0742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19109
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07487
BCBSN
NE
05
—
10025254600
—
NE
Enumeration date
09/14/2006
Last updated
07/08/2007
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