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Individual

DR. PETER R DEMARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8601 WEST DODGE RD, STE 234 DODGE PROFESSIONAL CENTER, OMAHA, NE 68114
(402) 393-8910
(402) 393-3350
Mailing address
8601 WEST DODGE RD, STE 234 DODGE PROFESSIONAL CENTER, OMAHA, NE 68114
(402) 393-8910
(402) 393-3350

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10836
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0914416
IA
05
470535639
NE
Enumeration date
08/24/2006
Last updated
07/08/2007
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