Organization
ALEGENT CREIGHTON CLINIC
Active
Other names
Alegent Health Clinic - Creighton Medical Associates - RR
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN A CAVANAUGH (COMPLIANCE OFFICER)
(402) 343-4328
Entity
Organization
Contact information
Practice address
12809 W DODGE RD, OMAHA, NE 68154-2155
(402) 343-4328
(402) 343-4389
Mailing address
12809 W DODGE RD, OMAHA, NE 68154-2155
(402) 343-4328
(402) 343-4389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
05/21/2012
Last updated
07/24/2012
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