Individual
BATSIRAI MUTIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1509
NE
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/14/2009
Last updated
03/29/2022
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