Individual
ROBERT N HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 N 103RD PLZ STE 100, OMAHA, NE 68114-1119
(402) 391-5055
(402) 391-5053
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15753
NE
207RC0000X
Cardiovascular Disease Physician
15753
NE
2086S0129X
Vascular Surgery Physician
Primary
15753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026448100
—
NE
05
—
10026480114
—
NE
05
—
1831121086
—
IA
05
—
47037660406
—
NE
Enumeration date
07/07/2006
Last updated
02/11/2019
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