Organization
ADVANCED VASCULAR AND VEIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE MCDERMOTT (OFFICE MANAGER)
(402) 552-3015
Entity
Organization
Contact information
Practice address
17404 BURKE ST STE 102, OMAHA, NE 68118-2242
(531) 466-4260
(531) 466-4304
Mailing address
17404 BURKE ST STE 102, OMAHA, NE 68118-2242
(531) 466-4260
(531) 466-4304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
10/04/2022
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