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Organization

ALEGENT CREIGHTON CLINIC

Active
Other names
Alegent Health Clinic - Creighton Medical Associates - CML
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN A CAVANAUGH (COMPLIANCE OFFICER)
(402) 343-4328
Entity
Organization

Contact information

Practice address
12809 W DODGE RD, OMAHA, NE 68154-2155
(402) 343-4328
(402) 343-4389
Mailing address
12809 W DODGE RD, OMAHA, NE 68154-2155
(402) 343-4328
(402) 343-4389

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/21/2012
Last updated
08/23/2012
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