Organization
PHCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J MEURET (CEO/OWNER)
(636) 600-1137
Entity
Organization
Contact information
Practice address
12305 GOLD STREET, OMAHA, NE 68144-2760
(402) 330-1176
Mailing address
12305 GOLD STREET, OMAHA, NE 68144-2760
(402) 330-1176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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