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Organization

TRIBA CHIROPRACTIC CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS ANDREW TRIBA D.C. (OWNER)
(402) 330-1652
Entity
Organization

Contact information

Practice address
2720 S 114TH ST, OMAHA, NE 68144-4712
(402) 330-1652
(402) 330-6342
Mailing address
2720 S 114TH ST, OMAHA, NE 68144-4712
(402) 330-1652
(402) 330-6342

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
912
NE
305S00000X
Point of Service
912
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396815676
NPI
NE
Enumeration date
07/08/2010
Last updated
10/15/2010
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