Individual
THOMAS S PRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 N 96TH ST STE 200, OMAHA, NE 68114-2499
(402) 343-4328
Mailing address
2808 S 80TH AVE STE 110, OMAHA, NE 68124-3253
(402) 391-3870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12219
NE
Other
Enumeration date
01/11/2007
Last updated
10/11/2007
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