Organization
RA NEUROLOGICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VALENSON ANDREWS M.D. (PRESIDENT)
(402) 697-1601
Entity
Organization
Contact information
Practice address
11930 ARBOR ST, SUITE 200, OMAHA, NE 68144-2998
(402) 697-1601
(402) 697-5007
Mailing address
11930 ARBOR ST, SUITE 200, OMAHA, NE 68144-2998
(402) 697-1601
(402) 697-5007
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
16475
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0984229
STATE LICENSE NUMBER
IA
01
—
16475
STATE LICENSE NUMBER
NE
Enumeration date
07/23/2006
Last updated
08/22/2020
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