Organization
WESTROADS RHEUMATOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETE PORNCHAISIRIARUN (IT DIRECTOR)
40220333881
Entity
Organization
Contact information
Practice address
10170 NICHOLAS ST, OMAHA, NE 68114-2174
(402) 391-3800
Mailing address
643 N 98TH ST # 253, OMAHA, NE 68114-2370
(402) 391-3800
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/30/2014
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