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Organization

NORTHWEST ANESTHESIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY JOHN GOC MD (PRESIDENT)
(402) 778-9738
Entity
Organization

Contact information

Practice address
6901 N 72 STREET, OMAHA, NE 68122
(402) 572-2160
(402) 334-2849
Mailing address
PO BOX 31668, OMAHA, NE 68131-0668
(402) 778-9738
(402) 334-6833

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
IA
207L00000X
Anesthesiology Physician
Primary
NE
367500000X
Certified Registered Nurse Anesthetist
IA
367500000X
Certified Registered Nurse Anesthetist
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0597096
IA
05
0949701
IA
Enumeration date
08/25/2006
Last updated
04/23/2008
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