Individual
TAMI DAWN DENOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-6198
Mailing address
PO BOX 4460, RADIOLOGY CONSULTANTS, PC, OMAHA, NE 68104
(866) 491-5807
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24502
NE
2085R0202X
Diagnostic Radiology Physician
37623
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01057
BCBS NE
NE
Enumeration date
11/26/2007
Last updated
02/01/2010
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