Organization
MIDWEST EAR, NOSE & THROAT CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD B SIMONS M.D. (PRESIDENT)
(402) 778-5200
Entity
Organization
Contact information
Practice address
2727 S 144TH ST, SUITE 105, OMAHA, NE 68144-5225
(402) 778-5200
(402) 778-5216
Mailing address
2727 S 144TH ST, SUITE 105, OMAHA, NE 68144-5225
(402) 778-5200
(402) 778-5216
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983197
—
IA
Enumeration date
05/16/2006
Last updated
05/16/2008
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