Organization
DEAN ANTONSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN L ANTONSON MD (PRESIDENT)
(402) 552-2100
Entity
Organization
Contact information
Practice address
4242 FARNAM ST STE 490, OMAHA, NE 68131-2850
(402) 552-2100
(402) 552-2160
Mailing address
PO BOX 540221, OMAHA, NE 68154-0221
(402) 552-2100
(402) 552-2160
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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