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Individual

THOMAS DEAN SOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7822 DAVENPORT STREET, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Mailing address
7822 DAVENPORT STREET, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26051
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
094951032
WPS MEDICARE
NE
Enumeration date
08/21/2006
Last updated
10/28/2016
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