Individual
DR. JORDAN THOMAS-CASOGLOS BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(248) 345-9097
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(248) 345-9097
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
37135
NE
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
37135
NE
Other
Enumeration date
03/06/2015
Last updated
09/22/2025
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