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Organization

HEARTLAND VEIN AND VASCULAR INSTITUTE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS B WHITTLE M.D. (M.D./PRESIDENT)
(402) 614-0026
Entity
Organization

Contact information

Practice address
12702 WESTPORT PKWY, #101, OMAHA, NE 68138-4012
(402) 614-0026
(402) 614-1877
Mailing address
12702 WESTPORT PKWY, #101, OMAHA, NE 68138-4012
(402) 614-0026
(402) 614-1877

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025411200
NE
01
DF9576
RRM
NE
Enumeration date
07/25/2006
Last updated
07/28/2014
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