Organization
OMAHA VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY B TADROS M.D. (PHYSICIAN)
(402) 346-8800
Entity
Organization
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
2706 N 96TH DR, OMAHA, NE 68134-5652
(402) 517-2648
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26112
NE
282N00000X
General Acute Care Hospital
26112
NE
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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