Individual
EDWARD F FOGARTY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 MAKOCHMNI, OGALLALA, NE 69153-5801
(701) 595-1868
(833) 228-6889
Mailing address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9435
ND
Other
Enumeration date
07/20/2006
Last updated
12/28/2023
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