Organization
SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY L OLSEN (PRACTICE MANAGER)
(402) 483-3400
Entity
Organization
Contact information
Practice address
1500 S 48TH ST STE 708, LINCOLN, NE 68506-1281
(402) 483-3400
Mailing address
1500 S 48TH ST STE 708, LINCOLN, NE 68506-1281
(402) 483-3400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025332500
—
NE
Enumeration date
01/30/2007
Last updated
08/21/2009
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