Organization
PHYSICIANS CLINIC INC
Active
Other names
MPC COLONOSCOPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GRAGES (PRESIDENT)
(402) 354-5451
Entity
Organization
Contact information
Practice address
9850 NICHOLAS ST STE 100, OMAHA, NE 68114-2191
(402) 343-1122
(402) 343-1177
Mailing address
825 S 169TH ST, OMAHA, NE 68118-9300
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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