Individual
COLE A NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7710 MERCY RD STE 224, OMAHA, NE 68124-2346
(402) 717-0070
(402) 717-0073
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 717-0770
(402) 717-0073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2944
NE
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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