Individual
EDWARD T MCGONIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N 30TH ST STE 3222A, OMAHA, NE 68131-2137
(402) 449-4847
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21485
NE
Other
Enumeration date
08/31/2006
Last updated
07/29/2008
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