Organization
EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES DOBLEMAN M.D. (PRESIDENT)
(402) 393-7050
Entity
Organization
Contact information
Practice address
11704 W CENTER RD, SUITE 211, OMAHA, NE 68144-4375
(402) 393-7050
(402) 393-2814
Mailing address
11704 W CENTER RD, SUITE 211, OMAHA, NE 68144-4375
(402) 393-7050
(402) 393-2814
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18235
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02621
BLUECROSS/BLUE SHIELD NE
NE
05
—
0957373
—
NE
01
—
97053
BLUECROSS/BLUE SHIELD IA
NE
Enumeration date
10/02/2006
Last updated
06/03/2016
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