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Organization

CREIGHTON UNIVERSITY

Active
Other names
Creighton Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT J GLOW (CEO)
(402) 280-1133
Entity
Organization

Contact information

Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5350
Mailing address
PO BOX 2159, OMAHA, NE 68103-2159
(402) 280-5877

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/03/2007
Last updated
10/03/2007
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