Organization
TRI STATE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDITH A RYBERG M.D. (PRESIDENT)
(402) 334-9171
Entity
Organization
Contact information
Practice address
1112 S 113TH CT, OMAHA, NE 68144-1857
(402) 334-9171
(402) 895-5060
Mailing address
1112 S 113TH CT, OMAHA, NE 68144-1857
(402) 334-9171
(402) 895-5060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19489
NE
Other
Enumeration date
02/20/2007
Last updated
01/23/2014
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