Organization
MILLARD EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA J CASTANO (CHIEF OPERATING OFFICER)
(512) 506-8503
Entity
Organization
Contact information
Practice address
14404 STONEY BROOK BLVD, OMAHA, NE 68137-2613
(402) 979-9635
Mailing address
14404 STONEY BROOK BLVD, OMAHA, NE 68137-2613
(402) 979-9635
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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