Individual
MR. DONALD PAUL SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11810 NICHOLAS ST, OMAHA, NE 68154-4449
(402) 401-4404
(402) 999-7698
Mailing address
105 SOUTH 90TH ST. SUITE 201, OMAHA, NE 68114
(402) 779-8400
(402) 779-8401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001018
IA
363A00000X
Physician Assistant
Primary
2071
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068731777
—
NE
Enumeration date
09/20/2006
Last updated
07/31/2019
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