Organization
DIAMOND CHIROPRACTIC NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GERALD NILLES DC (PRESIDENT)
(402) 506-2010
Entity
Organization
Contact information
Practice address
10011 MAPLE ST, OMAHA, NE 68134-5552
(402) 505-4414
(402) 614-9806
Mailing address
12411 W CENTER RD STE 105, OMAHA, NE 68144-3951
(402) 505-4414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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