Individual
MR. NICKOLAS ALAN BOCKOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5816 LAFAYETTE AVE, OMAHA, NE 68132-1337
(402) 641-3135
Mailing address
9850 NICHOLAS ST STE 250, OMAHA, NE 68114-2191
(402) 399-9990
(402) 399-9851
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2989
NE
Other
Enumeration date
09/01/2022
Last updated
05/30/2023
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