Individual
SHELBY E NEUROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
Mailing address
7727 N 88TH ST, OMAHA, NE 68122-5268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
119989
IA
363A00000X
Physician Assistant
Primary
2714
NE
Other
Enumeration date
12/27/2021
Last updated
08/02/2023
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